QuantiFERON-TB Gold Plus and QuantiFERON-TB Gold In-tube assays for detecting latent tuberculosis infection in Thai healthcare workers

ABSTRACT Detecting latent tuberculosis infection (LTBI) is important, especially in high-risk populations including healthcare workers (HCWs). QuantiFERON-TB Gold Plus (QFT-Plus) is a new version of the interferon-gamma release assays (IGRAs) to replace the QuantiFERON-TB Gold In-tube (QFT-GIT). However, data on the use of QFT-Plus for LTBI detection in high TB-burden countries are limited. This study was conducted in a TB-endemic setting in Thailand. HCWs were enrolled in the study and underwent both tests during the annual health screening. The testing results were compared and the concordance was determined. Of 102 HCWs, 11 (10.78%) were positive according to both tests, and 15 (14.71%) were positive according to QFT-Plus. The overall agreement between assays was 96.08%, with Cohen's kappa coefficient (k) at 0.82. All four discordant results occurred with QFT-GIT negative and QFT-Plus positive. The comparison between QFT-GIT and QFT-Plus based on each antigen tube (TB1 or TB2) exhibited similar concordance with 99.02% and 95.10% agreement, respectively. The intra-comparison between TB1 and TB2 of QFT-Plus also showed good concordance at 96.08%. Among this group of HCWs, the LTBI prevalence of any positive results in both tests was low. Overall, the study showed good agreement between QFT-Plus and QFT-GIT (k = 0.82) with a minimal difference, suggesting similar assay performance to that mainly carried out in TB-low incidence countries. The results support the use of QFT-Plus for detecting LTBI in a format similar to QFT-GIT.

Repellent activity of essential oils against cockroaches (Dictyoptera: Blattidae, Blattellidae, and Blaberidae) in Thailand.

Seven commercial essential oils extracted from the plant species Boesenbergia rotunda (L.) Mansf., Citrus hystrix DC., Curcuma longa L., Litsea cubeba (Lour.) Pers., Piper nigrum L., Psidium guajava L. and Zingiber officinale Roscoe, and naphthalene as a control, were evaluated for repellent activity against the three cockroach species Periplaneta americana (L.), Blattella germanica (L.) and Neostylopyga rhombifolia (Stoll) under laboratory conditions. The essential oil derived from Citrus hystrix showed the best repellency over other candidate essential oils and naphthalene. The essential oil of Citrus hystrix exhibited complete repellency (100%) against P. americana and B. germanica, and also showed the highest repellency (among the essential oils tested) of about 87.5% against N. rhombifolia under laboratory conditions. In the field, Citrus hystrix essential oil formulated as a 20% active ingredient in ethanol and some additives provided satisfactory repellency of up to 86% reduction in cockroaches, mostly P. americana and N. rhombifolia with a residual effect lasting a week after treatment. Citrus hystrix essential oil has good potential for being used as a cockroach repellent. Further improvements in efficacy and residual activity may be realized with appropriate formulations.

Larvicidal efficacy of new formulations of temephos in non-woven sachets against larvae of Aedes aegypti (L.) (Diptera: Culicidae) in water-storage containers.

Three new formulations of temephos (LAVIFOS SG 1%, MOSQ SG 1% and AZAI-SS ZG 1%) were evaluated for larvicidal efficacy against larvae of Aedes aegypti (L.) in water-storage jars under field-simulated conditions. LAVIFOS SG 1% and MOSQ SG 1% are sand granule formulations, whereas AZAI-SS ZG 1% is zeolite granule formulation. Each formulation contained 1% temephos as an active ingredient. Each formulation was packed in a non-woven sachet at quantity of 20 g per sachet and placed in a 200-liter glazed clay jar to obtain a dosage of 1 mg/l (one sachet per jar). Each treatment and control (jar without larvicide) was replicated four times. A concurrent set of treatments and controls were carried out in parallel, but the water in each treated and control jars was removed and refilled weekly. All jars (treatment and control) were challenged weekly by adding 25 third-instar larvae per jar and assessment was made of larval mortality by counting pupal skins one week after the addition of larvae. The three formulations provided complete larvicidal efficacy (100%) for at least 24 weeks post-treatment (the length of this study). In the jars where all the water was removed and refilled weekly, LAVIFOS SG 1%, and MOSQ SG 1% provided complete larvicidal efficacy for at least 24 weeks post-treatment, whereas AZAI-SS ZG 1% showed complete larvicidal efficacy for 16 weeks post-treatment. AZAI-SS ZG 1% still demonstrated a high degree of larvicidal activity (93-99%) from 17 to 24 weeks post-treatment. The present study reveals an excellent residual efficacy of the three new formulations of temephos against larvae of Aedes aegypti in water-storage jars lasting for at least 16 to 24 weeks post-treatment. These new formulations will make the control of DHF vectors in Thailand more cost effective as they are removable and retrievable sachets that can be reused after cleaning the water-storage containers.

Field evaluation of novaluron, a chitin synthesis inhibitor larvicide, against mosquito larvae in polluted water in urban areas of Bangkok, Thailand.

Novaluron, an insect growth regulator, a benzoylphenyl urea insecticide, was evaluated in the field against the larvae of polluted-water mosquitoes. The study was carried out in highly polluted sites infested with populations of mosquito larvae, mostly Culex quinquefasciatus Say, in low-income communities in urban areas of Bangkok, Thailand. An EC10 formulation was premixed in water and applied by pressurized spray tank to plots ranging from 180 to 1,000 m2 at the rate of 0.1 ml EC 10/m2 (equal to 10 mg a.i./m2) of the breeding sites. Assessments were made by sampling mosquito larvae and pupae to determine the trends of immature populations before treatment and weekly after treatment. Reduction of the populations in percents were then computed by comparing counts of immature mosquitoes (larvae and pupae) to the pretreatment counts at each particular site. It was found that the immature populations of mosquitoes in the treated areas were dramatically suppressed and remained at extremely low levels for 3-7 weeks after the treatment depending on the prevailing conditions of each experimental site. No negative impact on fishes or aquatic plants in the treated areas were detected during the study period and three months after the experiment was discontinued. Novaluron is an effective agent to control immature populations of polluted-water mosquitoes, especially Cx. quinquefasciatus in habitats in urban areas. This IGR larvicide may play an important role in vector control programs in terms of effectiveness, environmental friendliness and strategies for insecticide-resistance management in vector mosquitoes.