Performance of a T-cell-based diagnostic test for tuberculosis infection in HIV-infected individuals is independent of CD4 cell count

被引:123
作者
Dheda, K [1 ]
Lalvani, A
Miller, RF
Scott, G
Booth, H
Johnson, MA
Zumla, A
Rook, GAW
机构
[1] UCL, Royal Free & Univ Coll Med Sch, Dept Populat Sci & Primary Care, Ctr Infect Dis & Int Hlth, London, England
[2] UCL, Royal Free & Univ Coll Med Sch, Dept Populat Sci & Primary Care, Ctr Sexual Hlth & HIV Res, London, England
[3] Univ Oxford, Nuffield Dept Clin Med, Oxford, England
[4] UCL Hosp NHS Trust, Dept Thorac Med, London, England
[5] Royal Free Hosp NHS Trust, Dept Thorac & HIV Med, London, England
关键词
D O I
10.1097/01.aids.0000191923.08938.5b
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The performance characteristics of the enzyme-linked immunospot assay (ELISPOT) assay (T-SPOT TB) for the diagnosis of latent tuberculosis infection in HIV-infected individuals are unknown. Given that ELISPOT enumerates Mycobacterium tuberculosis antigen-specific IFN-gamma-secreting T cells, HIV-associated immunosuppression might adversely affect test performance. However, we found that 28 out of 29 HIV-positive individuals (97%) gave evaluable test results, and performance was independent of the CD4 T-cell count. ELlSPOT test performance appears to be independent of HIV-associated immunosuppression.
引用
收藏
页码:2038 / 2041
页数:4
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