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Evaluation of Interferon-Gamma Release Assays in the Diagnosis of Recent Tuberculosis Infection in Health Care Workers 英文参考文献.docVIP

Evaluation of Interferon-Gamma Release Assays in the Diagnosis of Recent Tuberculosis Infection in Health Care Workers 英文参考文献.doc

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Evaluation of Interferon-Gamma Release Assays in the Diagnosis of Recent Tuberculosis Infection in Health Care Workers 英文参考文献

EvaluationofInterferon-GammaReleaseAssaysinthe DiagnosisofRecentTuberculosisInfectioninHealthCare Workers IrmaCasas2,4,IreneLatorre1,4,5,MariaEsteve2,4,JuanRuiz-Manzano3,4,5,DoraRodriguez2 ,Cristina Prat1,4,5,IgnasiGarc?′a-Olive′3,AliciaLacoma1,4,5,VicenteAusina1,4,5,JoseDom?′nguez1,4,5 * 1Servei de Microbiologia, Hospital Universitari ‘‘Germans Trias iPujol’’ Fundacio′ Institut d’Investigacio′ en Cie`ncies dela Salut Germans Trias i Pujol, Badalona, Spain, 2ServeideMedicinaPreventiva,HospitalUniversitari‘‘GermansTriasiPujol’’Fundacio′ Institutd’Investigacio′ enCie`nciesdelaSalutGermansTriasiPujol,Badalona,Spain, 3Servei de Pneumologia, Hospital Universitari ‘‘Germans Trias i Pujol’’ Fundacio′ Institut d’Investigacio′ en Cie`ncies de la Salut Germans Trias i Pujol, Badalona, Spain, 4UniversitatAuto`nomadeBarcelona,Bellaterra,Spain,5CIBEREnfermedadesRespiratorias,Badalona,Spain Abstract Background:Healthcareworkers(HCWs)areagroupatriskoflatenttuberculosisinfection(LTBI).Theaimsofthisstudy weretodetermineIFN-cresponsebyQuantiFERON-TBGOLDInTube (QFN-G-IT)andT-SPOT.TBin HCWs,comparing the resultswithtuberculinskintest(TST);andtoanalyzethecapacityofIFN-cteststodetectrecentversusremoteLTBIwitha prolongedstimulationtest(PST). Methodology/PrincipalFindings:Atotalof147HCWswereenrolled;23ofwhomwereBCGvaccinated.95HCWs(64.6%) hadapreviouspositiveTSTandwerenotretested;and52HCWshadapreviousnegativeTSTorweretestedforthefirst time.WhenweanalysedindividualswithoutpreviouspositiveTST,thenumberofpositiveresultsforT-SPOT.TBwas12/52 (23.1%);andforQFN-G-IT,9/52(17.3%).Theglobalconcordance(k)betweenT-SPOT.TBandQFN-G-ITwithTSTwas0.754 and0.929respectively.OfindividualswithpreviouspositiveTST,T-SPOT.TBandQFN-G-ITwerenegativein51.6%(49/95) and62.1%(59/95)respectively,decreasingtheconcordanceto0.321and0.288,respectively.Innon-BCGvaccinatedHCWs with previous positive TST a positive IFN-c test was associated with degree of exposure and diameter of TST. PST was performedin24HCWwithp

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