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Comparison of latent tuberculosis infection rate between contacts with active tuberculosis and non-contacts.pdf
Respiratory Medicine 111 (2016) 77e83
Contents lists available at ScienceDirect
Respiratory Medicine
journal homepage: /locate/rmed
Clinical trial paper
Comparison of latent tuberculosis infection rate between contacts with active tuberculosis and non-contacts
Jung-Wan Yoo a, Kyung-Wook Jo b, Gu Young Park c, Tae Sun Shim b, *
a Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Gyeongsangnam-do, South Korea b Department of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea c Public Health Center, Hapcheon-gun, Gyeongsangnam-do, South Korea
article info
Article history: Received 3 July 2015 Received in revised form 27 November 2015 Accepted 10 December 2015 Available online 13 December 2015
Keywords: Latent tuberculosis infection Tuberculin skin test QuantiFERON?-TB Gold In-Tube Close contacts
abstract
Background: Latent tuberculosis infection (LTBI) rate is usually high in contacts with infectious TB patients. In TB-prevalent country, however, background LTBI rate is already high in general population. Aim: To compare the LTBI rate between controls and recognized close contacts. Method: Between February 2010 and January 2014, 183 controls and 376 contacts with TB infection were enrolled. The tuberculin skin test (TST) and QuantiFERON?-TB Gold In-Tube (QFT-GIT) were used to diagnose LTBI. Results: Higher TST positivity was found in the control group than in the contact group (37.7% vs. 29.9%, P ? 0.073). The positive QFT-GIT rate was higher in contacts than in controls (32.6% vs. 24.1%, P ? 0.054). A signi?cantly higher positive QFT-GIT rate was found in contacts under 30 years of age than in controls (16.1% vs. 0%, P ? 0.005). Conclusion: In a TB-prevalent country, both TST and QFT-GIT were limited in the diagnosis of recent LTBI in adult contacts probably due to the high background LTBI rate. However, QFT-GIT seems to
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