Value of blood interferon-γ release assay in early adjuvant diagnosis of tuberculous meningitis
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    Abstract:

    ObjectiveTo evaluate the value of peripheral blood Mycobacterium tuberculosis interferonγ release assay(TBIGRA )in early adjuvant diagnosis of  tuberculous meningitis(TBM).  Methods56 patients with TBM (trial group) and 56 patients with nonTB meningitis (control group) admitted to West China Hospital of Sichuan University in JanuaryDecember 2015 were analyzed, results of TBIGRA, cerebrospinal fluid(CSF) Mycobacterium tuberculosis(MT) culture, and CSF TBDNA testing of two groups of patients were analyzed, the sensitivity and specificity of each diagnostic method were calculated. ResultsThe sensitivity of TBIGRA, CSF MT culture, and CSF TBDNA for diagnosis of TBM were 87.5%(49/56), 19.6%(11/56), and 60.7%(34/56) respectively,specificity were 89.3%(50/56), 100.0%(56/56), and 76.8%(43/56)respectively. The sensitivity of TBIGRA for diagnosing TBM was higher than that of CSF TBDNA and CSF MT culture, specificity of TBIGRA was higher than that of CSF TBDNA(89.3%>76.8%), pairwise comparison showed a significant difference(all P<0.01). Among 11 cases confirmed by CSF culture, 10 (90.9%[10/11])were positive for TBIGRA; among 45 cases with clinical diagnosis and effective antituberculosis treatment, 39 (86.7%[39/45])were positive for TBIGRA. ConclusionTBIGRA is highly sensitive and specific in the early adjuvant diagnosis of TBM, it is convenient, rapid, effective, and worthy to be popularized in clinical practice.

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邓雯秋,赵贺红,等.全血 γ-干扰素释放试验对结核性脑膜炎的早期辅助诊断价值探讨[J].中国感染控制杂志英文版,2017,16(9):837-840. DOI:10.3969/j. issn.1671-9638.2017.09.011.
DENG Wenqiu, ZHAO Hehong, et al. Value of blood interferon-γ release assay in early adjuvant diagnosis of tuberculous meningitis[J]. Chin J Infect Control, 2017,16(9):837-840. DOI:10.3969/j. issn.1671-9638.2017.09.011.

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  • Received:August 03,2016
  • Revised:October 22,2016
  • Adopted:
  • Online: September 13,2017
  • Published: