Use of T-SPOT.TB in latent tuberculosis infection diagnosis in general and immunosuppressed populations

Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general population. Few data are available on the predictivity of T-SPOT.TB in immunosuppressed patients. We had a T-SPOT.TB determination and a TST from 197...

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Veröffentlicht in:The New microbiologica Jg. 30; H. 3; S. 286
Hauptverfasser: Piana, Federica, Ruffo Codecasa, Luigi, Baldan, Rossella, Miotto, Paolo, Ferrarese, Maurizio, Cirillo, Daniela Maria
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Italy 01.07.2007
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ISSN:1121-7138
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Abstract Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general population. Few data are available on the predictivity of T-SPOT.TB in immunosuppressed patients. We had a T-SPOT.TB determination and a TST from 197 immunosuppressed haematological patients and 324 community contacts of infectious TB cases. In the general population, TST was positive in 275 (84.9%), T-SPOT.TB in 167 (51.5%) (p < 0.0001). In immunosuppressed patients, TST was positive in 34 (17.3%), T-SPOT.TB in 70 (35.5%). T-SPOT.TB is not influenced by immunosuppression and even an indeterminate result may yield useful information on patient's anergy.
AbstractList Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general population. Few data are available on the predictivity of T-SPOT.TB in immunosuppressed patients. We had a T-SPOT.TB determination and a TST from 197 immunosuppressed haematological patients and 324 community contacts of infectious TB cases. In the general population, TST was positive in 275 (84.9%), T-SPOT.TB in 167 (51.5%) (p < 0.0001). In immunosuppressed patients, TST was positive in 34 (17.3%), T-SPOT.TB in 70 (35.5%). T-SPOT.TB is not influenced by immunosuppression and even an indeterminate result may yield useful information on patient's anergy.
Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general population. Few data are available on the predictivity of T-SPOT.TB in immunosuppressed patients. We had a T-SPOT.TB determination and a TST from 197 immunosuppressed haematological patients and 324 community contacts of infectious TB cases. In the general population, TST was positive in 275 (84.9%), T-SPOT.TB in 167 (51.5%) (p < 0.0001). In immunosuppressed patients, TST was positive in 34 (17.3%), T-SPOT.TB in 70 (35.5%). T-SPOT.TB is not influenced by immunosuppression and even an indeterminate result may yield useful information on patient's anergy.Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general population. Few data are available on the predictivity of T-SPOT.TB in immunosuppressed patients. We had a T-SPOT.TB determination and a TST from 197 immunosuppressed haematological patients and 324 community contacts of infectious TB cases. In the general population, TST was positive in 275 (84.9%), T-SPOT.TB in 167 (51.5%) (p < 0.0001). In immunosuppressed patients, TST was positive in 34 (17.3%), T-SPOT.TB in 70 (35.5%). T-SPOT.TB is not influenced by immunosuppression and even an indeterminate result may yield useful information on patient's anergy.
Author Ferrarese, Maurizio
Baldan, Rossella
Cirillo, Daniela Maria
Miotto, Paolo
Piana, Federica
Ruffo Codecasa, Luigi
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Snippet Immunosuppressed patients have a nine-fold greater risk of developing active tuberculosis (TB) disease given the latent TB infection than the general...
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StartPage 286
SubjectTerms Bacterial Proteins - immunology
Bacterial Proteins - metabolism
Bacteriological Techniques
Carrier State - diagnosis
Hematologic Diseases - immunology
Humans
Immunocompetence
Immunocompromised Host
Interferon-gamma - biosynthesis
Interferon-gamma - immunology
Logistic Models
Mycobacterium tuberculosis - metabolism
Peptides - immunology
Reagent Kits, Diagnostic
Sensitivity and Specificity
Species Specificity
T-Lymphocytes - immunology
Tuberculosis - diagnosis
Title Use of T-SPOT.TB in latent tuberculosis infection diagnosis in general and immunosuppressed populations
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