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European Respiratory Journal
Article . 2016 . Peer-reviewed
Data sources: Crossref
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First evaluation of QuantiFERON-TB Gold Plus performance in contact screening

Authors: Barcellini, Lucia; Borroni, Emanuele; Brown, James; Brunetti, Enrico; Campisi, Daniela; Castellotti, Paola F.; Codecasa, Luigi R.; +10 Authors

First evaluation of QuantiFERON-TB Gold Plus performance in contact screening

Abstract

Identifying latently infected individuals is crucial for the elimination of tuberculosis (TB). We evaluated for the first time the performance of a new type of interferon-γ release assay, QuantiFERON-TB Plus (QFT-Plus), which includes an additional antigen tube (TB2), stimulating both CD4+and CD8+T-cells in contacts of TB patients.Contacts were screened for latent TB infection by tuberculin skin test, QFT-Plus and QuantiFERON-TB Gold in Tube (QFT-GIT).In 119 TB contacts, the overall agreement between QFT-Plus and QFT-GIT was high, with a Cohen's κ of 0.8. Discordant results were found in 12 subjects with negative QFT-GIT and positive QFT-Plus results. In analyses of markers of TB exposure and test results, the average time spent with the index case was the strongest risk factor for positivity in each of these tests. The difference in interferon-γ production between the two antigen tubes (TB2−TB1) was used as an estimate of CD8+stimulation provided by the TB2. TB2−TB1 values >0.6 IU·mL−1were significantly associated with proximity to the index case and European origin.QFT-Plus has a stronger association with surrogate measures of TB exposure than QFT-GIT in adults screened for latent TB infection. Interferon-γ response in the new antigen tube used an indirect estimate of specific CD8+response correlates with increasedMycobacterium tuberculosisexposure, suggesting a possible role in identifying individuals with recent infection.

Countries
United Kingdom, Italy
Keywords

Pulmonary and Respiratory Medicine, Adult, CD4-Positive T-Lymphocytes, Male, 610, CD8-Positive T-Lymphocytes, Interferon-gamma, Latent Tuberculosis, Diagnosis, Tuberculosis, Humans, Tuberculosis, Pulmonary, Aged, Models, Statistical, Latent Tuberculosis Infection, Tuberculin Test, Incidence, Mycobacterium tuberculosis, Middle Aged, Cross-Sectional Studies, Italy, Screening, Female, Contact Tracing, Quantiferon, Interferon-gamma Release Tests

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    popularity
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    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
138
Top 1%
Top 1%
Top 1%
Green
bronze