Diagnosis of latent tuberculosis by ELISPOT assay and tuberculin skin test

被引:5
|
作者
Du, F. [1 ]
Zhang, Z. [1 ,2 ]
Gao, T. [2 ]
Liu, Z. [1 ]
Jia, H. [1 ]
Xing, A. [1 ]
Du, B. [1 ]
Sun, Q. [1 ]
Cao, T. [1 ]
Zhang, Z. [1 ,2 ]
机构
[1] Capital Med Univ, Beijing Chest Hosp, Beijing TB & Thorac Tumor Res Inst, Beijing Key Lab Drug Resistant TB Res, Beijing 101149, Peoples R China
[2] Changping TB Prevent & Control Inst Beijing, Beijing 102206, Peoples R China
来源
MEDECINE ET MALADIES INFECTIEUSES | 2016年 / 46卷 / 03期
关键词
Latent tuberculosis; Interferon-gamma; Tuberculin skin test; PULMONARY TUBERCULOSIS; INFECTION; CHINA; ANTIGENS; STUDENTS; COUNTRY; SCHOOL;
D O I
10.1016/j.medmal.2016.02.011
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Objective. To determine the prevalence of latent tuberculosis infection (LTBI) in college students. Patients and methods. Four hundred and twenty newly admitted college students were enrolled. The Enzyme-Linked ImmunoSpot assay (ELISPOT) was used. Overall, 171 students with ELISPOT assay+/TST+ were monitored for three years to detect active TB disease. Results. The overall positive rate of ELISPOT assay was 40.7% among TST+ students. The ELISPOT positive rates were 36.9%, 45.4%, and 64.3% in groups of TST induration of 10-14 mm, 15-20 mm, and >= 20 mm, respectively, with a significant difference (chi(2) = 10.136, P<0.01) but no significant difference between BCG scar and no scar (41.2% vs. 38.8%; P>0.05). None of the 171 untreated students contracted active TB within the three-year monitoring period. Conclusion. The LTBI rate might be overestimated by TST compared with interferon-gamma release assays. On the basis of a close monitoring, few students developed active TB despite a positive result to the TST and ELISPOT assay. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:150 / 153
页数:4
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