The utility of QuantiFERON TB Gold for diagnosing tuberculous meningitis in children

MATERIAL AND METHODS: We performed QuantiFERON-TB Gold in Tube (QFT-G) in blood and CSF at 40 children diagnosed with TB meningitis and at 39 children with non TB meningitis, admitted between October 2006 and December 2009.

RESULTS: The CSF analyses were suggestive for TB at 27 patients and only 14 had positive culture. The sensitivity of QFT-G in CSF was 72.72% and 69.44% in blood; specificity 96.96% in CSF and 89.18% in blood; the positive predictive value was 96% in CSF and 86.2% in blood; negative predictive value was 78.04% in CSF and 75% in blood. The sensitivity of TST was 61.76% and specificity 82.05%. The sensitivity of the culture from CSF was only 35%. The sensitivity and specificity of QFT-G was higher than TST and culture and better in CSF than in blood.

CONCLUSIONS: The determination of alpha-interferon in serum and CSF is useful diagnostic marker of tuberculosis who could improve the management of TB meningitis.

Medienart:

Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:114

Enthalten in:

Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi - 114(2010), 4 vom: 30. Okt., Seite 1048-52

Sprache:

Rumänisch

Weiterer Titel:

Utilitatea testului quantiFERON TB gold in diagnosticul meningitei tuberculoase la copil

Beteiligte Personen:

Căliman-Sturdza, Olga Adriana [VerfasserIn]
Mihalache, Doina [VerfasserIn]
Luca, Catalina Mihaela [VerfasserIn]
Petrovici, Cristina [VerfasserIn]
Dorobăţ, Carmen Mihaela [VerfasserIn]

Themen:

82115-62-6
Biomarkers
English Abstract
Immunologic Factors
Interferon-gamma
Journal Article
Multicenter Study
Reagent Kits, Diagnostic

Anmerkungen:

Date Completed 08.07.2011

Date Revised 19.11.2015

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM207544549