Educational intervention for collecting sputum for tuberculosis: a quasi-experimental study.

Objective: to evaluate the quality of the sputum sample before and after the Nursing guidance to patients.

Methods: this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years.

Mycobacterium tuberculosis recognition with conventional microscopy.

This paper presents a new method for segmentation of tuberculosis bacillus in conventional sputum smear microscopy. The method comprises three main steps. In the first step, a scalar selection are made for characteristics from the following color spaces: RGB, HSI, YCbCr and Lab.

Molecular characterisation of the causative agents of Cryptococcosis in patients of a tertiary healthcare facility in the state of Amazonas-Brazil.

As there are four major molecular types of Cryptococcus neoformans (VNI, VNII, VNIII and VNIV) and four molecular types of Cryptococcus gattii (VGI, VGII, VGIII and VGIV), it is important to identify the specific groups causing cryptococcosis in different geographical regions. Here, we investigated the molecular types of 57 cryptococcal isolates from patients in a tertiary care hospital in the state of Amazonas, Brazil, between 2006 and 2010. The isolates were characterised by PCR fingerprinting using the M13 minisatellite and confirmed by URA5-RFLP analysis, and the presence of specific genes from the mating type locus (MATα and MATa) of these species was analysed by PCR.

Selection and optimization of PCR-based methods for the detection of Histoplasma capsulatum var. capsulatum.

Background: Current methods for the laboratory diagnosis of histoplasmosis are problematic in terms of their sensitivity, specificity and runtime.

Objectives: Thus, in this study, we sought to select and optimize methods for the detection of Histoplasma capsulatum var. capsulatum by polymerase chain reaction (PCR).

Evaluation of autofocus functions of conventional sputum smear microscopy for tuberculosis.

This article presents a systematic analysis of focus functions in conventional sputum smear microscopy for tuberculosis. This is the first step in the development of automatic microscopy. Nine autofocus functions are analyzed in a set of 1200 images with varying degrees of content density.

Automatic identification of mycobacterium tuberculosis with conventional light microscopy.

This article presents an automatic identification method of mycobacterium tuberculosis with conventional microscopy images based on Red and Green color channels using global adaptive threshold segmentation. Differing from fluorescence microscopy, in the conventional microscopy the bacilli are not easily distinguished from the background. The key to the bacilli segmentation method employed in this work is the use of Red minus Green (R-G) images from RGB color format.

Methodology for characterizing proficiency in interpreting sputum smear microscopy results in the diagnosis of tuberculosis.

Objective: To propose a methodology for characterizing proficiency in sputum smear microscopy for acid-fast bacilli (AFB) in the diagnosis of tuberculosis and to determine the number of microscopies necessary to establish this proficiency, as well as the quality of the transcription of results, the causes of the discrepancies in the readings (rater or microscope used), and the criterion for classification of microscopy results that poses the most difficulty in characterizing proficiency.

Methods: Four hundred sputum smear microscopies for the diagnosis of tuberculosis were analyzed through double-blind readings by six professionals who usually read/supervise microscopies performed in public health care facilities. The sample was stratified to obtain, at least, a reliability of 90% in the double-blind readings, an alpha error of 5%, and a precision of 3%.

Evaluation of polymerase chain reaction in the diagnosis of pulmonary tuberculosis in indigenous and non-indigenous patients.

Objective: To evaluate the accuracy of bacteriological methods and of polymerase chain reaction (with primers specific for IS6110 of the Mycobacterium tuberculosis complex) in testing sputum samples from indigenous (Amerindian) and non-indigenous patients.

Methods: A total of 214 sputum samples (154 from indigenous patients and 60 from non-indigenous patients) were analyzed in order to determine the accuracy of smear microscopy (direct and concentrated versions) for acid-fast bacilli, culture, and polymerase chain reaction.

Results: Both microscopy methods presented low sensitivity in comparison with culture and polymerase chain reaction.