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