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Comparison of Tuberculin Skin Test and a Specific T-cell-based Test, T-Spot™.TB, for the Diagnosis of Latent Tuberculosis Infection
Oleh:
Ozekinci, T.
;
Ozbek, E.
;
Celik, Y.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Journal of International Medical Research vol. 35 no. 05 (Sep. 2007)
,
page 696-703.
Topik:
Tuberculin skin test
;
specific T-cell-based test
;
T-Spot™.TB
;
latent tuberculosis infection
Ketersediaan
Perpustakaan FK
Nomor Panggil:
J11.K.2007.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
There is substantial evidence that the detection of T cells specific for the proteins ESAT-6 and CFP-10 using the ex vivo enzyme-linked immunospot technique is a marked improvement on the existing tuberculin skin test (TST). This new technique, which detects gamma-interferon-producing T cells, is now available as the commercial assay, T-Spot™.TB. We compared the T-Spot™.TB test with the TST for the diagnosis of latent tuberculosis infection (LTBI) in different groups of subjects. Significant accordance (85.7%) between the tests was found in subjects with active lung tuberculosis and in tuberculosis clinic and laboratory personnel (63.6%) but accordance was lowest and not significant amongst house contacts of tuberculosis patients (53.6%). We conclude that, in countries where vaccination is routinely performed, the T-Spot™.TB test is a useful diagnostic test for LTBI in high-risk groups when carried out either together with the TST and/or to confirm the TST result.
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