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淋巴细胞干扰素γ检测(结核菌素干扰素释放试验)在诊断 HIV 感染儿童活动性结核病中的应用。

Performance of a lymphocyte t interferon gamma test (Quantiferon-TB gold in tube) in the diagnosis of active tuberculosis in HIV-infected children.

机构信息

Department of Pediatrics, University Hospital Center Souro Sanou (CHUSS), Bobo-Dioulasso, Burkina Faso.

Pediatrics Department, Regional Teaching Hospital of Ouahigouya, Ouahigouya, Burkina Faso.

出版信息

PLoS One. 2020 Nov 6;15(11):e0241789. doi: 10.1371/journal.pone.0241789. eCollection 2020.

Abstract

OBJECTIVE

Evaluate the performance of QuantiFERON ® -TB Gold In-Tube test (QFT-GIT), to improve the diagnosis of active tuberculosis (TB) in Human Immuno-Deficiency Virus (HIV)-infected children.

METHOD

Sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) of QFT-GIT were assessed in 58/63 HIV-infected children who were suspected of having TB.

RESULTS

Sensitivity of QFT-GIT was 20.69%, specificity 96.55%, PPV/NPV respectively 85.71% and 54.90%.

CONCLUSION

QFT-GIT appears to be of little contribution to the diagnosis of active TB in children living with HIV in a TB-endemic country.

摘要

目的

评估结核菌素纯蛋白衍生物(QuantiFERON ® -TB Gold In-Tube 试验,QFT-GIT)在诊断人类免疫缺陷病毒(HIV)感染儿童活动性结核病(TB)中的性能。

方法

对 63 例疑似患有 TB 的 HIV 感染儿童进行 QFT-GIT 的灵敏度、特异性、阳性预测值(PPV)、阴性预测值(NPV)评估。

结果

QFT-GIT 的灵敏度为 20.69%,特异性为 96.55%,PPV/NPV 分别为 85.71%和 54.90%。

结论

在结核病流行国家,QFT-GIT 似乎对诊断 HIV 感染儿童的活动性 TB 没有太大帮助。

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