The Bandim Tuberculosis Score II (TBscoreII) is a revised version of the origninal TBscore for a patient with tuberculosis in a resource-limited community. The score was developed at the Bandim Health Project in Guinea-Bissau.
Patient selection: tuberculosis (? adults, since arm circumference would have less meaning in children)
Difference from original TBscore: removal of hemoptysis, night sweats, heart rate, lung auscultation, and temperature
Symptoms:
(1) cough
(2) dyspnea
(3) chest pain
Signs:
(1) anemia
(5) body mass index in kg per square meter
(6) mid upper arm circumference (MUAC) in mm
Parameter
Finding
Points
cough
no
0
yes
1
dyspnea
no
0
yes
1
chest pain
no
0
yes
1
anemia
no
0
yes
1
body mass index
>= 18 kg per sq m
0
16 to 17.99
1
< 16
2
MUAC
>= 220 mm
0
200 to 219.99
1
< 200 mm
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• A change in the score by less than 25% after the first 2 months of therapy was associated with failure of antituberculosis therapy.
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