Quantiferon-TB-gold in tube test in the diagnosis of pulmonary and extra-pulmonary tuberculosis

被引:8
|
作者
Garcia-Gasalla, Mercedes [1 ]
Fernandez-Baca, Victoria [2 ]
Mir-Viladrich, Isabel [3 ]
Cifuentes-Luna, Carmen [1 ]
Campins-Rosello, Antoni [4 ]
Payeras-Cifre, Antoni [1 ]
Serrano-Bujalance, Araceli [1 ]
Ortiz-Monjo, Alicia [1 ]
Pons-Vives, Salvador [3 ]
Gallegos-Alvarez, Carmen [2 ]
机构
[1] Hosp Son Llatzer, Serv Med Interna, Palma de Mallorca, Mallorca, Spain
[2] Hosp Son Llatzer, Microbiol Serv, Palma de Mallorca, Mallorca, Spain
[3] Hosp Son Llatzer, Serv Neumol, Palma de Mallorca, Mallorca, Spain
[4] Hosp Son Dureta, Serv Med Interna Infecciosas, Palma de Mallorca, Mallorca, Spain
来源
关键词
Tuberculosis; QuantiFERON TB Gold test in Tube; TST; GAMMA RELEASE ASSAY; MYCOBACTERIUM-TUBERCULOSIS; CLINICAL UTILITY; TB-2G TEST; SENSITIVITY; INFECTION; RESPONSES; ANTIGENS;
D O I
10.1016/j.eimc.2010.01.008
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction The Interferon-gamma in vitro detection tests could be a useful tool in the diagnosis of active tuberculosis compared to Mycobacterium tuberculosis (MTB) Methods The QuantiFERON-TB-Gold in Tube (QFG-IT) test was performed on the blood of 118 patients with active tuberculosis and the results compared with the tuberculin test Results The QFG-IT test was positive in 94 cases (79 7%) negative in 17 (14 4%) and indeterminate in 7 (5 9%) A negative or indeterminate QFG-IT test was more common in older patients (P=0 017) and in cases with negative smear tests (P=0 041) The kappa agreement between the tuberculin and QFG-IT tests was 74 5% with a kappa value of 0 45 (SE 0 136) Thirteen of the patients studied were Infected with HIV and the tuberculin was positive in 5 of the 12 cases (38 5%) in whom it was performed with the QFG IT being positive in 9/13 (69 2%) Conclusions The QFG-IT test may be a useful complimentary tool to the tuberculin test in the diagnosis of tuberculosis (C) 2009 Elsevier Espana S L All rights reserved
引用
收藏
页码:685 / 689
页数:5
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