Description

Wang and Tu reported a nomogram for predicting multidrug-resistant tuberculosis. This can help to identify a patient who may require careful selection of the antimycobacterial regimen. The authors are from Zhejiang University in China.


Patient selection: tuberculosis

 

Parameters:

(1) education level

(2) history of hospitalization

(3) number of side effects of treatment

(4) history of previous tuberculosis

(5) spoligotype family (based on the SpolDB4 database)

 

Parameter

Finding

Points

education level

completed secondary education

0

 

did not complete secondary education

30.5

history of hospitalization

no

33.9

 

yes

0

number of side effects of treatment

0

53.7

 

>= 1

0

history of previous TB

no

61.6

 

yes

0

spoligotype family

T

0

 

LAM

28.5

 

orphan

74.6

 

Beijing

76.3

 

unknown

77.2

 

Haarlem

100

 

other Euro-American

94.9

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

minimum score: 0

maximum score: 279.7

 

Score

Probability of Multidrug Resistance

0 to 145.7

(0.00001132 * ((score)^2)) + (0.001848 * (score)) + 0.09696

145.7 to 247.7

(-0.00001381 * ((score)^2)) + (0.008378 * (score)) - 0.3275

> 247.5

> 90%

 


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