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Asian Pac J Trop Med ; 6(2): 135-8, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23339916

RESUMEN

OBJECTIVE: To assess the usefulness of IGRA test (QuantiFERON(®)-Cell mediated immune) compared with the tuberculin skin test. METHODS: A cross-sectional study was carried out in Mexico, 25 infected patients with HIV-AIDS and the suspicion or with latent tuberculous infection (LTBI) who were >18 years of age and without treatment for tuberculosis (TB), were enrolled in the study. RESULTS: Median cluster of differentiation (CD4) count was 364 cells/µ L and median HIV viral load was 50 copies/mL. Overall, 20 patients (80%) had at least one positive diagnostic test for LTBI: four (16%) had a positive tuberculin skin test and 19 (76%), a positive QuantiFERON(®)-tuberculosis. CONCLUSIONS: No agreement is found between the two diagnostic tests: k = -0.004, 95% confidence interval (-0.2219, 0.2210). Additional longitudinal studies among HIV-infected populations with high prevalence of TB are needed to further assess the usefulness of IGRAs in this patient population.


Asunto(s)
Infecciones por VIH/diagnóstico , Infecciones por VIH/microbiología , Ensayos de Liberación de Interferón gamma/estadística & datos numéricos , Interferón gamma/análisis , Tuberculosis Latente/diagnóstico , Tuberculosis Latente/virología , Adulto , Anciano , Recuento de Linfocito CD4 , Estudios Transversales , Femenino , Infecciones por VIH/inmunología , Humanos , Interferón gamma/inmunología , Interferón gamma/metabolismo , Tuberculosis Latente/inmunología , Masculino , Persona de Mediana Edad , Estadísticas no Paramétricas , Prueba de Tuberculina/estadística & datos numéricos , Carga Viral
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