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Detection of Mycobacterium tuberculosis Infection in United States Navy Recruits Using the Tuberculin Skin Test or Whole-Blood Interferon- Release Assays
Author(s) -
Gerald H. Mazurek,
Margan J. Zajdowicz,
Arlene Hankinson,
Dana Costigan,
Sean Toney,
J.S. Rothel,
Laura Daniels,
F. Brian Pascual,
N. Shang,
Lisa W. Keep,
Philip LoBue
Publication year - 2007
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/521106
Subject(s) - medicine , tuberculin , mycobacterium tuberculosis , tuberculosis , immunology , whole blood , skin test , interferon γ , tuberculin test , virology , interferon gamma , pathology , cytokine
Military personnel are at risk for acquiring Mycobacterium tuberculosis infection because of activities in close quarters and in regions with a high prevalence of tuberculosis (TB). Accurate tests are needed to avoid unnecessary treatment because of false-positive results and to avoid TB because of false-negative results and failure to diagnose and treat M. tuberculosis infection. We sought to estimate the specificity of the tuberculin skin test (TST) and 2 whole-blood interferon-gamma release assays (QuantiFERON-TB assay [QFT] and QuantiFERON-TB Gold assay [QFT-G]) and to identify factors associated with test discordance.

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