Low Sensitivity of a Whole-Blood Interferon-γ Release Assay for Detection of Active Tuberculosis

The sensitivity of an interferon-γ assay (Quantiferon-TB Gold; Cellestis) was evaluated for the detection of tuberculosis among 242 persons with suspected tuberculosis in San Francisco, California. Thirty-seven subjects had culture-confirmed tuberculosis. Excluding 1 indeterminate result, 23 (64%; 9...

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Veröffentlicht in:Clinical infectious diseases 2007-01, Vol.44 (1), p.69-73
Hauptverfasser: Dewan, Puneet K., Grinsdale, Jennifer, Kawamura, L. Masae
Format: Artikel
Sprache:eng
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Zusammenfassung:The sensitivity of an interferon-γ assay (Quantiferon-TB Gold; Cellestis) was evaluated for the detection of tuberculosis among 242 persons with suspected tuberculosis in San Francisco, California. Thirty-seven subjects had culture-confirmed tuberculosis. Excluding 1 indeterminate result, 23 (64%; 95% confidence interval, 48%-78%) of 36 subjects had positive results using the QuantiFERON-TB Gold assay. The 64% sensitivity suggests that the QuantiFERON-TB Gold assay should not be used alone to exclude active tuberculosis.
ISSN:1058-4838
1537-6591
DOI:10.1086/509928