OPTIMIZING INTERPRETATION OF THE TUBERCULIN TEST USING AN INTERFERON-GAMMA RELEASE ASSAY AS A REFERENCE STANDARD

The interferon-gamma release assays have greater specificity than the tuberculin skin test (TST), and at least equal sensitivity. We analyzed the sensitivity and specificity of the TST in immunocompetent children considering QuantiFERON as the referent standard. A TST cut-off point of ≥5 mm indicate...

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Veröffentlicht in:The Pediatric infectious disease journal 2011-05, Vol.30 (5), p.426-428
Hauptverfasser: Méndez-Echevarría, Ana, González-Muñoz, Miguel, Mellado, Maria Jose, Baquero-Artigao, Fernando, Vecino, Raquel, Pérez, Elia
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container_end_page 428
container_issue 5
container_start_page 426
container_title The Pediatric infectious disease journal
container_volume 30
creator Méndez-Echevarría, Ana
González-Muñoz, Miguel
Mellado, Maria Jose
Baquero-Artigao, Fernando
Vecino, Raquel
Pérez, Elia
description The interferon-gamma release assays have greater specificity than the tuberculin skin test (TST), and at least equal sensitivity. We analyzed the sensitivity and specificity of the TST in immunocompetent children considering QuantiFERON as the referent standard. A TST cut-off point of ≥5 mm indicates excellent sensitivity (100%) and specificity (93%) in children without Bacillus Calmette-Guérin. In Bacillus Calmette-Guérin-vaccinated children, the TST cut-off point of ≥10 mm had poorer specificity (86%), and a cut-off point of ≥15 mm resulted in reduced sensitivity (60%).
doi_str_mv 10.1097/INF.0b013e3182001294
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Bacterial diseases
BCG Vaccine - immunology
Biological and medical sciences
Child
Child, Preschool
Clinical Laboratory Techniques - methods
Female
General aspects
Human bacterial diseases
Humans
Immunoassay - methods
Infant
Infectious diseases
Interferon-gamma - secretion
Male
Medical sciences
Reference Standards
Sensitivity and Specificity
Tuberculin Test - methods
Tuberculosis - diagnosis
Tuberculosis - immunology
Tuberculosis and atypical mycobacterial infections
title OPTIMIZING INTERPRETATION OF THE TUBERCULIN TEST USING AN INTERFERON-GAMMA RELEASE ASSAY AS A REFERENCE STANDARD
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