Evidence map›Paper›PMID 41087415›Full record

ArticleScientific reports2025

Comparison of interferon gamma release assays and tuberculin skin test performance for diagnosing Mycobacterium tuberculosis infection in the Pakistani population.

Urooj Ishrat, Sadaf Khan, Mirza Saifullah Baig, Joy Fleming, Lijun Bi, Shaukat Ali

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Urooj IshratDow College of Biotechnology, Dow University of Health Sciences (Ojha Campus), Karachi, Pakistan.
Sadaf KhanDow College of Biotechnology, Dow University of Health Sciences (Ojha Campus), Karachi, Pakistan.
Mirza Saifullah BaigOJHA Institute of Chest Diseases, Dow University of Health Sciences (Ojha Campus), Karachi, Pakistan.
Joy FlemingInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Lijun BiInstitute of Biophysics, Chinese Academy of Sciences, Beijing, China. bi_lijun@gzlab.ac.cn.
Shaukat AliDow College of Biotechnology, Dow University of Health Sciences (Ojha Campus), Karachi, Pakistan. ali.shaukat@duhs.edu.pk.

Funding

International Partnership Program of the Chinese Academy of Sciences 153311KYSB20170001
6 · The paper itself

Abstract

Data on clinical utility of IGRAs in BCG-vaccinated populations is limited. This cross-sectional study evaluated diagnostic performance of ELISPOT and ELISA-based IGRAs and compared them with conventional Tuberculin Skin Test (TST) for detecting Mtb infection in adult Pakistani population. Subjects (n = 325, age 18-64 years) recruited included active TB cases (n = 150), non-TB other pulmonary diseases patients (n = 50) and healthy individuals (n = 125). Two different IGRAs, X-DOT-TB (ELISPOT-based) and QFT-Plus (ELISA-based) were used to screen Mtb infection. Samples from 112/150 (74.7%) active TB patients, 10/50 (20.0%) non-TB other pulmonary diseases cases and 16/125 (12.8%) healthy individuals were X-DOT-TB positive, while 52.7% (29/55) active TB patients, 20.0% (4/20) non-TB other pulmonary diseases cases and 22.6% (12/53) healthy individuals tested by QFT-Plus had positive results. Sensitivity of X-DOT-TB and QFT-Plus was 79.5% (95%CI 77.4-81.5), and 55.7% (95%CI 52.9-58.5), respectively, significantly higher than TST 35.8% (95%CI 34.4-37.1, p < 0.05). Specificity of X-DOT-TB was 85.1% (95%CI 83.2-87.0), that of QFT-Plus was 78.1% (95%CI 75.3-80.9), comparable with TST specificity of 82.2% (95%CI 80.3-84.1, p > 0.05). IGRAs, particularly X-DOT-TB assay found to have greater sensitivity for detecting Mtb infection than TST. Our study suggests that IGRAs can be used as an adjunct diagnostic tool for detection of Mtb infection in BCG-vaccinated populations.

Indexed as

Interferon-gamma Release TestsMycobacterium tuberculosisTuberculin TestTuberculosisAdolescentAdultCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedPakistanSensitivity and SpecificityYoung AdultBCG vaccinationDiagnostic performanceIGRAMtb infectionPakistani populationTST

Identifiers

PMID41087415
PMCPMC12521551

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