作者
J Grant, J Jastrzebski, J Johnston, A Stefanovic, J Jastrabesky, K Elwood, D Roscoe, R Balshaw, E Bryce
发表日期
2012
来源
Canadian Journal of Infectious Diseases and Medical Microbiology
卷号
23
期号
3
页码范围
114-116
出版商
Pulsus Group Inc
简介
Diagnosing latent tuberculosis (TB) infection (LTBI) in dialysis patients is complicated by poor response to tuberculin skin testing (TST), but the role of interferon‐gamma release assays (IGRAs) in the dialysis population remains uncertain. Seventy‐nine patients were recruited to compare conventional diagnosis (CD) with the results of two IGRA tests in a dialysis unit. Combining TST, chest x‐ray and screening questionnaire results (ie, CD) identified 24 patients as possible LTBI. IGRA testing identified 22 (QuantiFERON Gold IT, Cellestis, USA) and 23 (T‐spot.TB, Oxford Immunotec, United Kingdom) LTBI patients. IGRA and CD correlated moderately (κ=0.59). IGRA results correlated with history of TB, TB contact and birth in an endemic country. TST was not helpful in identifying LTBI patients in this population. The tendency for IGRAs to correlate with risk factors for TB, active TB infection and history of TB argues for …
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