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J Infect. 2009 May;58(5):352-7. doi: 10.1016/j.jinf.2009.02.019. Epub 2009 Apr 1.

Contact investigation in a primary school using a whole blood interferon-gamma assay.

Author information

1
The Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Kiyose City, Tokyo, Japan. higuchi@jata.or.jp

Abstract

OBJECTIVES:

To evaluate the usefulness of QuantiFERON-TB Gold (QFT-G) for children.

METHODS:

Students in a primary school exposed to a tuberculosis patient were investigated using the tuberculin skin test (TST), chest X-ray examination and sequential QFT-G tests.

RESULTS:

The first QFT-G test was conducted one month after the end of exposure for 308 of the 313 children, with 6 (1.9%) positive. TST results were obtained from 306 of the students at 2 months after exposure, and 200 (65.4%) had induration > or =5mm. A second QFT-G test, a further month later, and a third QFT-G test, six months after exposure, found an additional 2 positive and one weakly positive, respectively. Overall, the rate of QFT-G positivity was 9.8% (4/41) for close contact children (> or =90h exposure), significantly higher than for casual contacts (< or =18h exposure; 1.8%, 5/272; p=0.020), whereas there was no significant difference in TST positive rates (p=0.078).

CONCLUSIONS:

These data suggest that QFT-G has the same performance characteristics in BCG vaccinated children as it does in adults. The observation that none of the 297 students who were QFT-G negative had developed active TB after 3 years of follow-up suggests that QFT-G has a very high negative predictive value.

PMID:
19342102
DOI:
10.1016/j.jinf.2009.02.019
[Indexed for MEDLINE]
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