Evidence map›Paper›PMID 31625291›Full record

ArticleJournal of Korean medical science2019

Good Agreement between an Interferon Gamma Release Assay and Tuberculin Skin Tests in Testing for Latent Tuberculosis Infection among HIV-Infected Patients in Indonesia.

Reviono Reviono, Leli Saptawati, Dhani Redhono, Betty Suryawati

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Reviono RevionoDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine/Moewardi Hospital, Universitas Sebelas Maret, Surakarta, Republic of Indonesia. reviono@staff.uns.ac.id.ORCID https://orcid.org/0000-0001-5463-1850
Leli SaptawatiDepartment of Microbiology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Republic of Indonesia.ORCID https://orcid.org/0000-0003-4689-0005
Dhani RedhonoDepartment of Internal Medicine, Faculty of Medicine/Moewardi Hospital, Universitas Sebelas Maret, Surakarta, Republic of Indonesia.ORCID https://orcid.org/0000-0002-6639-1791
Betty SuryawatiDepartment of Microbiology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Republic of Indonesia.ORCID https://orcid.org/0000-0003-1493-3170
Sebelas Maret University · ID

Funding

Universitas Sebelas Maret 343/UN27/HK/2016
6 · The paper itself

Abstract

backgroundLatent tuberculosis infection is a condition where there is a persistent immune response to Mycobacterium tuberculosis without clinical manifestations of tuberculosis. Currently, there is no gold standard to diagnose latent tuberculosis infection. The tuberculin skin test and interferon-gamma release assay are currently used to diagnose latent tuberculosis infection. However, studies have shown inconsistencies regarding the level of agreement between these tests in different settings. In this study, we aimed to evaluate the agreement between these two tests for diagnosing latent tuberculosis infection in human immunodeficiency virus (HIV)-infected individuals.

methodsWe screened HIV patients with no clinical symptoms of tuberculosis, a normal chest X-ray, and no history of tuberculosis or use of antituberculous drugs. Participants were tested with tuberculin skin test (TST) and T-SPOT.TB (an interferon gamma release assay) simultaneously. Participants' HIV stage was determined by measuring the level of CD4+ T-lymphocytes. Tuberculosis status was confirmed by sputum examination using GeneXpert. The level of agreement between the TST and T-SPOT.TB results was measured using Cohen's κ coefficient.

resultsOf the 112 participants, 20 had a positive T-SPOT.TB test result, and 21 had a positive TST result. The TST and T-SPOT.TB test results showed a high level of agreement (κ = 0.648,

conclusionThere was good agreement between the TST and T-SPOT.TB results of latent tuberculosis infection in participants. TST is the preferred test for diagnosing latent tuberculosis infection in HIV-infected patients, especially in resource-limited settings, because it is simple and cost-effective. However, T-SPOT.TB may be useful to rule out latent tuberculosis infection in patients with severe immunodeficiency.

Indexed as

AdultAnti-Retroviral AgentsCD4 Lymphocyte CountDiagnostic Tests, RoutineFemaleHIV InfectionsHumansIndonesiaInterferon-gamma Release TestsLatent TuberculosisMaleMiddle AgedSeverity of Illness IndexTuberculin TestAnti-Retroviral AgentsHuman Immunodeficiency VirusLatent Tuberculosis InfectionT-SPOT.TBTuberculin Skin TestTuberculosis

Identifiers

PMID31625291
PMCPMC6801227
OpenAlexW2976965115

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.