From Latent Tuberculosis Infection to Tuberculosis. News in Diagnostics (QuantiFERON-Plus)

Pol J Microbiol. 2017 Mar 30;66(1):5-8. doi: 10.5604/17331331.1234987.

Abstract

It is estimated that one third of the world's population have latent tuberculosis infection and that this is a significant reservoir for future tuberculosis cases. Most cases occur within two years following initial infection. The identification of individuals with latent tuberculosis infection is difficult due to the lack of an ideal diagnostic assay and incomplete understanding of latent infection. Currently, there are three tests: the oldest tuberculin skin test, T-SPOT.TB and the latest QuantiFERON-Plus for the detection of Mycobacterium tuberculosis infection. The interpretation of the test results must be used in the conjunction with a patient's epidemiological history, risk assessment, current clinical status, radiography and microbiological methods to ensure accurate diagnosis.

Keywords: Mycobacterium tuberculosis; Tuberculosis; interferon-gamma release assays; latent tuberculosis infection; tuberculin skin test.

MeSH terms

  • Antigens, Bacterial
  • Biomarkers
  • Disease Reservoirs
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Interferon-gamma
  • Latent Tuberculosis / diagnosis*
  • Latent Tuberculosis / pathology
  • Reagent Kits, Diagnostic
  • Sensitivity and Specificity

Substances

  • Antigens, Bacterial
  • Biomarkers
  • Reagent Kits, Diagnostic
  • Interferon-gamma