Effect of refrigeration of blood samples in lithium-heparin tubes on QuantiFERON TB Gold Plus test result

J Infect Chemother. 2020 Mar;26(3):312-314. doi: 10.1016/j.jiac.2019.10.002. Epub 2019 Dec 10.

Abstract

The QuantiFERON TB Gold Plus (QFT-Plus) test is a newly approved interferon-gamma releasing assay test for detecting latent tuberculosis. Although blood samples for QFT test can be refrigerated for 48 h in lithium-heparin tubes according to package inserts, no published data are available on the effects of sample refrigeration on the test results. We conducted a clinical study that aimed to elucidate whether sample refrigeration for 48 h affects QFT-Plus test results. We collected 2 blood samples each from 40 participants for QFT-Plus; one sample was refrigerated before incubation for QFT-Plus assay, while the other sample was incubated soon after collection and treated as control. After comparing QFT-Plus test results of refrigerated samples and control samples, the concordance rate and kappa coefficient between them were 95% and 0.90, respectively. Thus, blood samples for QFT-Plus test can be refrigerated for 48 h in lithium-heparin tubes without influencing the test results.

Keywords: Latent tuberculosis infection; QuantiFERON TB Gold Plus; Refrigeration; Sample storage.

MeSH terms

  • Adult
  • Aged
  • Blood Specimen Collection / methods*
  • Cold Temperature
  • Female
  • Heparin
  • Humans
  • Interferon-gamma / analysis
  • Interferon-gamma / metabolism
  • Interferon-gamma Release Tests* / methods
  • Interferon-gamma Release Tests* / standards
  • Latent Tuberculosis / diagnosis*
  • Lithium
  • Male
  • Middle Aged
  • Reproducibility of Results

Substances

  • Interferon-gamma
  • Heparin
  • Lithium