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whole blood interferon-gamma assay for baseline tuberculosis screening among japanese healthcare students全血移行为基线结核病筛查日本医疗学生分析
Whole Blood Interferon-Gamma Assay for Baseline Tuberculosis Screening among Japanese Healthcare Students 1 1 2 2 1 1 3 3 Katsuyuki Hotta *, Toshio Ogura , Kenji Nishii , Tsuyoshi Kodani , Masaru Onishi , Yukito Shimizu , Arihiko Kanehiro , Katsuyuki Kiura , Mitsune Tanimoto3, Kazuo Tobe1 1 Health and Environmental Center, Okayama University, Okayama, Japan, 2 Department of Respiratory Medicine, Okayama Institute of Health and Prevention, Okayama, Japan, 3 Department of Respiratory Medicine, Okayama University Hospital, Okayama, Japan Background. The whole blood interferon-gamma assay (QuantiFERON-TB-2G; QFT) has not been fully evaluated as a baseline tuberculosis screening test in Japanese healthcare students commencing clinical contact. The aim of this study was to compare the results from the QFT with those from the tuberculin skin test (TST) in a population deemed to be at a low risk for infection with Mycobacterium tuberculosis. Methodology/Principal Findings. Healthcare students recruited at Okayama University received both the TST and the QFT to assess the level of agreement between these two tests. The interleukin-10 levels before and after exposure to M tuberculosis-specific antigens (early-secreted antigenic target 6-kDa protein [ESAT-6] and culture filtrate protein 10 [CFP-10]) were also measured. Of the 536 healthcare students, most of whom had been vaccinated with ´ bacillus-Calmette-Guerin (BCG), 207 (56%) were enrolled in this study. The agreement between the QFT and the TST results was poor, with positive result rates of 1.4% vs. 27.5%, respectively. A multivariate analysis also revealed that the induration diameter of the TST was not affected by the interferon-gamma concentration after exposure to either of the anti
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