A Three-Way Comparison of Tuberculin Skin Testing, QuantiFERON-TB Gold and T-SPOT.TB in Children
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{"title"=>"A three-way comparison of tuberculin skin testing, QuantiFERON-TB gold and T-SPOT.TB in children", "type"=>"journal", "authors"=>[{"first_name"=>"Tom G.", "last_name"=>"Connell", "scopus_author_id"=>"7004232352"}, {"first_name"=>"Nicole", "last_name"=>"Ritz", "scopus_author_id"=>"24577103100"}, {"first_name"=>"Georgia A.", "last_name"=>"Paxton", "scopus_author_id"=>"36927260600"}, {"first_name"=>"Jim P.", "last_name"=>"Buttery", "scopus_author_id"=>"7005239562"}, {"first_name"=>"Nigel", "last_name"=>"Curtis", "scopus_author_id"=>"7102229084"}, {"first_name"=>"Sarath C.", "last_name"=>"Ranganathan", "scopus_author_id"=>"7102368342"}], "year"=>2008, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-49949109820", "sgr"=>"49949109820", "pui"=>"352197321", "isbn"=>"1932-6203 (Electronic)", "pmid"=>"18612425", "doi"=>"10.1371/journal.pone.0002624"}, "id"=>"9fe4d0b4-5e2b-3e4f-8fd8-651f1f4c22b1", "abstract"=>"BACKGROUND: There are limited data comparing the performance of the two commercially available interferon gamma (IFN-gamma) release assays (IGRAs) for the diagnosis of tuberculosis (TB) in children. We compared QuantiFERON-TB gold In Tube (QFT-IT), T-SPOT.TB and the tuberculin skin test (TST) in children at risk for latent TB infection or TB disease.\\n\\nMETHODS AND FINDINGS: The results of both IGRAs were compared with diagnosis assigned by TST-based criteria and assessed in relation to TB contact history. Results from the TST and at least one assay were available for 96 of 100 children. Agreement between QFT-IT and T-SPOT.TB was high (93% agreement, kappa = 0.83). QFT-IT and T-SPOT.TB tests were positive in 8 (89%) and 9 (100%) children with suspected active TB disease. There was moderate agreement between TST and either QFT-IT (75%, kappa = 0.50) or T-SPOT.TB (75%, kappa = 0.51). Among 38 children with TST-defined latent TB infection, QFT-IT gold and T-SPOT.TB assays were positive in 47% and 39% respectively. Three TST-negative children were positive by at least one IGRA. Children with a TB contact were more likely than children without a TB contact to have a positive IGRA (QFT-IT LR 3.9; T-SPOT.TB LR 3.9) and a positive TST (LR 1.4). Multivariate linear regression analysis showed that the magnitude of both TST induration and IGRA IFN-gamma responses was significantly influenced by TB contact history, but only the TST was influenced by age.\\n\\nCONCLUSIONS: Although a high level of agreement between the IGRAs was observed, they are commonly discordant with the TST. The correct interpretation of a negative assay in a child with a positive skin test in clinical practice remains challenging and highlights the need for longitudinal studies to determine the negative predictive value of IGRAs.", "link"=>"http://www.mendeley.com/research/threeway-comparison-tuberculin-skin-testing-quantiferontb-gold-tspottb-children", "reader_count"=>86, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Researcher"=>23, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>5, "Other"=>6, "Student > Master"=>16, "Student > Bachelor"=>4, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>3, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>3, "Researcher"=>23, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>5, "Other"=>6, "Student > Master"=>16, "Student > Bachelor"=>4, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>3, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>60, "Agricultural and Biological Sciences"=>13, "Design"=>1, "Physics and Astronomy"=>1, "Immunology and Microbiology"=>2}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>60}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>13}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Unspecified"=>{"Unspecified"=>5}}, "reader_count_by_country"=>{"Austria"=>1, "Belgium"=>1, "Norway"=>1, "United States"=>1, "Japan"=>1, "Australia"=>1, "Switzerland"=>1, "Ethiopia"=>1, "Spain"=>1}, "group_count"=>4}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/926933"], "description"=>"<p>Venn diagram depicting agreement between tuberculin skin test, QuantiFERON-TB gold In Tube and T-SPOT.<i>TB</i> results for all children (n = 100).</p>", "links"=>[], "tags"=>["diagram", "depicting", "tuberculin", "quantiferon-tb", "children"], "article_id"=>597376, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Venn_diagram_depicting_agreement_between_tuberculin_skin_test_QuantiFERON_TB_gold_In_Tube_and_T_SPOT_TB_results_for_all_children_n_100_/597376", "title"=>"Venn diagram depicting agreement between tuberculin skin test, QuantiFERON-TB gold In Tube and T-SPOT.<i>TB</i> results for all children (n = 100).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:01:59"}
  • {"files"=>["https://ndownloader.figshare.com/files/926994"], "description"=>"<p>The dotted line depicts the test cut-off value for a positive test.</p>", "links"=>[], "tags"=>["quantiferon-tb", "assays", "tuberculin", "test-based"], "article_id"=>597435, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_T_SPOT_TB_panels_A_and_B_and_QuantiFERON_TB_gold_In_Tube_assays_panel_C_according_to_tuberculin_skin_test_based_diagnosis_/597435", "title"=>"Results of T-SPOT.<i>TB</i> (panels A and B) and QuantiFERON-TB gold In Tube assays (panel C) according to tuberculin skin test-based diagnosis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:02:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/927084"], "description"=>"<p>The broken line indicates a TST induration of 15 mm. QFT = QuantiFERON-TB gold In Tube, T-Sp = T-SPOT.<i>TB</i> assays, Indet = Indeterminate, TST = tuberculin skin test.</p>", "links"=>[], "tags"=>["quantiferon-tb", "assays", "tst", "induration", "diameter", "46", "children", "tuberculin", "tst-defined", "latent", "tb"], "article_id"=>597521, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.g003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Relationship_between_results_of_QuantiFERON_TB_gold_In_Tube_and_T_SPOT_TB_assays_and_TST_induration_diameter_in_the_46_children_with_a_positive_tuberculin_skin_test_38_with_TST_defined_latent_TB_infection_and_8_with_TB_disease_/597521", "title"=>"Relationship between results of QuantiFERON-TB gold In Tube and T-SPOT.<i>TB</i> assays and TST induration diameter in the 46 children with a positive tuberculin skin test (38 with TST-defined latent TB infection and 8 with TB disease).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 10:02:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/927151"], "description"=>"*<p>3 inadequate PBMC; 1 cross contamination.</p>†<p>1 high nil control; 2 inadequate mitogen control.</p>‡<p>3 high nil control; 4 inadequate PBMC; 2 technical; 1 cross contamination.</p>§<p>1 inadequate PBMC; 1 cross contamination.</p>‖<p>1 inadequate mitogen control; 1 high nil control.</p>**<p>3 inadequate PBMC; 1 technical; 1 high nil control.</p>", "links"=>[], "tags"=>["quantiferon-tb", "in-tube", "assays", "diagnostic"], "article_id"=>597601, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_QuantiFERON_TB_gold_in_Tube_and_T_SPOT_TB_assays_in_each_diagnostic_category_/597601", "title"=>"Results of QuantiFERON-TB gold in-Tube and T-SPOT.<i>TB</i> assays in each diagnostic category.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 10:03:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/927182"], "description"=>"*<p>Includes children where TST result was unavailable.</p><p>κ (95% CI) for agreement between T-SPOT.TB and QuantiFERON-TB gold In-Tube in all patients was 0.83 (0.65–0.91) and in patients with latent TB infection was 0.82 (0.54–0.92).</p>", "links"=>[], "tags"=>["quantiferon-tb", "in-tube"], "article_id"=>597633, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_the_results_of_QuantiFERON_TB_gold_in_Tube_and_T_SPOT_TB_assays_/597633", "title"=>"Comparison of the results of QuantiFERON-TB gold in-Tube and T-SPOT.<i>TB</i> assays.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 10:03:27"}
  • {"files"=>["https://ndownloader.figshare.com/files/927216"], "description"=>"*<p>Final diagnosis <i>Klebsiella pneumoniae</i> pneumonia; cough>2 weeks; sputum samples AFB negative.</p>†<p>One child with TB disease did not have a TST.</p>‡<p>Extrapulmonary TB.</p>§<p>One child with evidence of prior TB; one child with right upper lobe opacification (<i>K. pneumoniae</i> on culture).</p>‖<p>Right upper lobe opacification (culture negative).</p>**<p>Well, asymptomatic child; failed to attend for follow up CXR.</p>††<p>CD4 count available for 82 children.</p>", "links"=>[], "tags"=>["details"], "article_id"=>597662, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographic_clinical_and_laboratory_details_of_study_participants_/597662", "title"=>"Demographic, clinical and laboratory details of study participants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 10:03:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/927252"], "description"=>"<p>Details of the results from children with latent TB infection and negative QuantiFERON-TB gold in tube or T.SPOT.TB results.</p>", "links"=>[], "tags"=>["children", "latent", "tb", "quantiferon-tb"], "article_id"=>597698, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Details_of_the_results_from_children_with_latent_TB_infection_and_negative_QuantiFERON_TB_gold_in_tube_or_T_SPOT_TB_results_/597698", "title"=>"Details of the results from children with latent TB infection and negative QuantiFERON-TB gold in tube or T.SPOT.TB results.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 10:03:49"}
  • {"files"=>["https://ndownloader.figshare.com/files/927299"], "description"=>"<p>The influence of TB contact on TST, QFT-IT and T-SPOT.<i>TB</i> results for the 87 children with latent TB infection (n = 38) or who were uninfected (n = 49).</p>", "links"=>[], "tags"=>["tb", "qft-it", "87", "children", "latent", "uninfected"], "article_id"=>597741, "categories"=>["Infectious Diseases", "Medicine"], "users"=>["Tom G. Connell", "Nicole Ritz", "Georgia A. Paxton", "Jim P. Buttery", "Nigel Curtis", "Sarath C. Ranganathan"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0002624.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_influence_of_TB_contact_on_TST_QFT_IT_and_T_SPOT_TB_results_for_the_87_children_with_latent_TB_infection_n_38_or_who_were_uninfected_n_49_/597741", "title"=>"The influence of TB contact on TST, QFT-IT and T-SPOT.<i>TB</i> results for the 87 children with latent TB infection (n = 38) or who were uninfected (n = 49).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 10:04:01"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"79", "full-text"=>"82", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"79", "full-text"=>"83", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"86", "full-text"=>"90", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"124", "full-text"=>"128", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"123", "full-text"=>"133", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"78", "full-text"=>"90", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"54", "full-text"=>"50", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"59", "full-text"=>"60", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}

Relative Metric

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