Value of Adenosine Deaminase (ADA) for the Diagnosis of Tuberculous Serous Cavity Fluidify: Evidence-based Evaluation_Chinese Journal of Evidence-Based Medicine

Authors：

LI Jiao ,  ZHU Yu , QU Yi , MU Dezhi

Department of Pediatrics, West China Second Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

ZHU Yu, Email: zhuyu_wj@163.com

Keywords：

Tuberculous serous cavity fluidify; Adenosine deaminase; Diagnosis value; Systematic reviese

DOI：

10.7507/1672-2531.20100435

Video：

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Objective 　To investigate the value of adenosine deaminase (ADA) for the diagnosis of tuberculous serous cavity fluidify.
Methods 　The literatures on the application of ADA for the diagnosis of tuberculous serous cavity fluidify in the database including PUBMED and CNKI were reviewed.
Results 　Studies including randomized controlled trial or meta-analysis have performed to determine the level of ADA in the effusion of tuberculous serous cavity fluidify. These studies have sufficiently proved that ADA is a specific and sensitive method for the diagnosis of extrapulmonary tuberculosis. Most of the studies have determined the optimal cut-off value of ADA in the effusion of tuberculous serous cavity fluidify.
Conclusion 　Measurement of ADA in the effusion of tuberculous serous cavity fluidify is widely used as a fast, convenient, safe and effective adjunctive diagnostic method of tubeculosis in clinic.

Citation： LI Jiao,ZHU Yu,QU Yi,MU Dezhi. Value of Adenosine Deaminase (ADA) for the Diagnosis of Tuberculous Serous Cavity Fluidify: Evidence-based Evaluation. Chinese Journal of Evidence-Based Medicine, 2010, 10(4): 495-498. doi: 10.7507/1672-2531.20100435 Copy

1.	Inadomi JM, Kapur S, Kinkhabwala M, et al. The laparoscopicevaluation of ascites. Gastrointest Endosc Clin N Am, 2001, 11: 79-91.
2.	李钦云, 曹励之. 结核性脑膜炎患儿脑脊液腺苷脱氨酶活力的变化. 北京医学, 2008, 30(3): 432-435.
3.	Giusti G. Adenosine deaminase. In: Bergmeyer H, ed. Methods of Enzymatic Analysis. New York: Academic Press, 1974: 1092-1099.
4.	Slaats EH, Asberg EG, van Keimpema AR, et al. A continuous method for the estimation of adenosine deaminase catalytic concentration in pleural effusions with a Hitachi 705 discrete analyser. J Clin Chem Clin Biochem, 1985, 23: 677-682.
5.	Hillebrand DJ, Runyon BA, Yasmineh WG, et al. Ascitic fluid adenosine deaminase insensitivity in detecting tuberculous peritonitis in the United States. Hepatology, 1996, 24: 1408-1412.
6.	Liang QL, Shi HZ, et al. Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: A meta-analysis. Respiratory Medicine, 2008, 102, 744-754.
7.	Morisson P, Neves DD. Evaluation of adenosine deaminase in the diagnosis of pleural tuberculosis: a Brazilian meta-analysis. J Bras Pneumol, 2008, 34(4): 217-224.
8.	Trautner BW, Darouiche RO. Tuberculous pericarditis:optimal diag nosis and management. Clin Infect Dis, 2001, 33: 954-961.
9.	Cherian G. Diagnosis of tuberculous aetiology in pericardial effusions. Postgrad Med J, 2004, 80: 262-266.
10.	Tuon FF, Litvoc MN. Max Igor Banks Ferreira Lopes Adenosine deaminase and tuberculous pericarditis—A systematic review with meta-analysis. Acta Tropica, 2006, 99: 67-74.
11.	Riquelme A, Calvo M, Salech F, et al. Value of Adenosine Deaminase (ADA) in Ascitic Fluid for the Diagnosis of Tuberculous Peritonitis. J Clin Gastroenterol, 2006, 40: 705-710.
12.	Koh KK, In HH, Lee KH, et al. New scoring system using tumor markers in diagnosing patients with moderate pericardial effusions. Int J Cardiol, 1997, 61: 5-13.
13.	Burgess LJ, Maritz FJ, Le Roux I, et al. Use of adenosine deaminase as a diagnostic tool for tuberculous pleurisy. Thorax, 1995, 50: 672-674.

1. Inadomi JM, Kapur S, Kinkhabwala M, et al. The laparoscopicevaluation of ascites. Gastrointest Endosc Clin N Am, 2001, 11: 79-91.
2. 李钦云, 曹励之. 结核性脑膜炎患儿脑脊液腺苷脱氨酶活力的变化. 北京医学, 2008, 30(3): 432-435.
3. Giusti G. Adenosine deaminase. In: Bergmeyer H, ed. Methods of Enzymatic Analysis. New York: Academic Press, 1974: 1092-1099.
4. Slaats EH, Asberg EG, van Keimpema AR, et al. A continuous method for the estimation of adenosine deaminase catalytic concentration in pleural effusions with a Hitachi 705 discrete analyser. J Clin Chem Clin Biochem, 1985, 23: 677-682.
5. Hillebrand DJ, Runyon BA, Yasmineh WG, et al. Ascitic fluid adenosine deaminase insensitivity in detecting tuberculous peritonitis in the United States. Hepatology, 1996, 24: 1408-1412.
6. Liang QL, Shi HZ, et al. Diagnostic accuracy of adenosine deaminase in tuberculous pleurisy: A meta-analysis. Respiratory Medicine, 2008, 102, 744-754.
7. Morisson P, Neves DD. Evaluation of adenosine deaminase in the diagnosis of pleural tuberculosis: a Brazilian meta-analysis. J Bras Pneumol, 2008, 34(4): 217-224.
8. Trautner BW, Darouiche RO. Tuberculous pericarditis:optimal diag nosis and management. Clin Infect Dis, 2001, 33: 954-961.
9. Cherian G. Diagnosis of tuberculous aetiology in pericardial effusions. Postgrad Med J, 2004, 80: 262-266.
10. Tuon FF, Litvoc MN. Max Igor Banks Ferreira Lopes Adenosine deaminase and tuberculous pericarditis—A systematic review with meta-analysis. Acta Tropica, 2006, 99: 67-74.
11. Riquelme A, Calvo M, Salech F, et al. Value of Adenosine Deaminase (ADA) in Ascitic Fluid for the Diagnosis of Tuberculous Peritonitis. J Clin Gastroenterol, 2006, 40: 705-710.
12. Koh KK, In HH, Lee KH, et al. New scoring system using tumor markers in diagnosing patients with moderate pericardial effusions. Int J Cardiol, 1997, 61: 5-13.
13. Burgess LJ, Maritz FJ, Le Roux I, et al. Use of adenosine deaminase as a diagnostic tool for tuberculous pleurisy. Thorax, 1995, 50: 672-674.

Chinese Journal of Evidence-Based Medicine

Value of Adenosine Deaminase (ADA) for the Diagnosis of Tuberculous Serous Cavity Fluidify: Evidence-based Evaluation

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