Ancillary Procedures

Diagnostic procedures
Sputum AFB Gold Standard
Sputum AFB smears had a sensitivity of
67.5% and specificity of 97.5% (Matthew,
2002)

Tuberculin Skin Testing

PCR
Bronchoscopy and BAL
ELISA
CT Scan
ADA and IGRA

Chest X-ray
Test sensitivity is low (68%-75%) but the
consequences of missing the diagnosis remain
significant enough to support the practice.
it appears acceptable to base a presumptive
diagnosis of PTB on the chest x-ray findings.
This may be sufficient enough to initiate treatment.
The clinical response to treatment should be closely
monitored and ideally documented with
radiographs over the next 3 months.
Source: THE PHILIPPINE CLINICAL PRACTICE GUIDELINES ON THE
DIAGNOSIS, TREATMENT AND CONTROL OF PULMONARY
TUBERCULOSIS (2000)