Other Specified Chronic Obstructive Pulmonary Disease, Pulmonary Tuberculosis Suspected, Pulmonary Tuberculosis TB (+) Histology, (-) Bacteriology
Conditions
Keywords
pulmonary tuberculosis; electronic nose; diagnostic accuracy
Brief summary
Electronic noses detecting patterns of volatile molecules have recently been introduced for different diagnostic purposes. The diagnostic accuracy of a prototype e-nose device (Bruins et al (2013) in Bangladesh showed sensitivity of 76.5-95.9% and specificity of 85.3-98.5%. Here the investigators test a production type point-of-care hand-held device with less detectors. The investigators explore factors such as food intake, smoking, and co-morbidity, as well as the impact of TB treatment, and address the question whether the device could help monitor disease and response to treatment.
Detailed description
Study participants provide WIC and after time for consideration, when they approve, provide demographic anonymized data. The study population consists of six groups: Group 1 - 20 TB patients aged \> 18 yrs Group 2 - 20 non---TB patients \> 18 yrs (screened for TB - other conditions) Group 3 - 20 patients with a lung disease - no TB suspects (Lung Clinics in Yogyakarta,Indonesia; Group 4 - 50 apparently healthy matched controls Group 5 - 20 newly diagnosed TB patients enrolled before start of treatment, to be followed over time, until after end of treatment (8 months FU). Group 6 - 50 apparently healthy volunteers. Study participants breath normally by mouthpiece into the device using a nose clamp - for 5 min during each sampling. Electronic data are downloaded and transmitted by internet to Zutphen, Netherlands where data are processed to build the model.
Interventions
study participants are requested to quietly sit and allow exhaled breath to be sampled through mouth piece breathing with nose clamp during 5 min while electronic data are collected in the device and later downloaded on a laptop pc
Sponsors
Study design
Intervention model description
6 groups: 1\) 20 TB patients 2) 20 non-TB patients (alternative diagnosis) 3) 20 patients with chest symptoms - non-TB 4) 7 MDR-TB patients 5) 20 healthy controls 6) 300 subjects suspected to have pulmonary tuberculosis - follow-up for 2.5 years
Eligibility
Inclusion criteria
* age \>18yrs * voluntarily participating
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| diagnostic precision of electronic nose signal in pulmonary TB | 18 months | sensitivity and specificity of electronic nose signal in diagnosing and measuring response to treatment in pulmonary TB |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| measuring response to TB treatment over time with the electronic nose | 18 months | cohort of patients newly deteted with PTB will be followed with the enose device over time to monitor disease activity, until end of treatment |
Countries
Indonesia