TB Screening
Neither IGRAs nor TST can distinguish active TB from LTBI - Gina Gualano

image by: Añonuevo Credit & Collection Services Inc.
HWN Recommends
Tuberculosis Screening
Two screening test options are available to determine if a person is infected with the TB bacteria: the tuberculin skin test (TST) and the TB blood test.
Development of the TST began with Clemens von Pirquet, an Austrian-born scientist and physician who began using a small amount of isolated TB bacteria and scratching it into the skin to observe for a reaction. Expanding on the work of von Pirquet, Charles Mantoux developed the TST, which has remained, the standardized screening test for TB since 1907. The TST has also been called the Pirquet skin test, the Mantoux skin test, and the tuberculin sensitivity test.
TST can be administered the same day as live virus vaccinations.…
Resources
These Algorithms Could Bring an End to the World’s Deadliest Killer
In rural India and other places where tuberculosis is rampant, A.I. that scans lung X-rays might eliminate the scourge.
Latent Tuberculosis Infection: Screening
The USPSTF found adequate evidence that accurate screening tests are available to detect LTBI. Screening tests include the Mantoux tuberculin skin test (TST) and interferon-gamma release assays (IGRAs); both are moderately sensitive and highly specific.
Tuberculosis Screening Options Pros and Cons
Amita Gupta, MD, MHS, discusses the efficacy and limitations of screening options, including the protein purified derivative (PPD) test, and interferon gamma release assays using either a chemiluminescence automated platform or an enzyme-linked immunospot assay.
Gold Test - Interferon Gamma Release Assay
QuantiFERON-TB Gold Plus (QFT-Plus) is a major scientific advance over the 100-year-old TB skin test (TST), providing greater accuracy and a more reliable result in a single patient visit.
T-Spot TB
Every TB test result is a ‘moment of truth’. If it’s positive, then you’ve begun the process of fighting it. You can protect the patient and the wider community from a deadly risk. If it’s negative, there may be no need for powerful antibiotics – and the patient is cleared to live and work closely with others. With so much at stake, positive or negative, what’s vital is getting a result people can trust.
Tuberculin skin test – Outdated or still useful for Latent TB infection screening?
Neither TST nor IGRAs have a high accuracy for predicting active TB. Neither IGRAs nor TST can distinguish active TB from LTBI. TST will continue to be clinically useful in low and high TB endemic areas until more accurate and predictive tests will become available.
Interferon-Gamma Release Assays versus Tuberculin Skin Testing for the Diagnosis of Latent Tuberculosis Infection: An Overview of the Evidence
We conclude that both tests are accurate to detect latent tuberculosis, although interferon-gamma release assays have higher specificity than tuberculin skin testing in BCG-vaccinated populations, particularly if BCG is received after infancy. However, both tests perform poorly to predict risk for progression to active tuberculosis.
Tests for TB - Sputum microscopy, skin test, IGRAs
There are tests which can diagnose TB. There are also tests to find out if someone has TB bacteria that are susceptible to TB drug treatment.
A Three-Way Comparison of Tuberculin Skin Testing, QuantiFERON-TB Gold and T-SPOT.TB in Children
Although a high level of agreement between the IGRAs was observed, they are commonly discordant with the TST. The correct interpretation of a negative assay in a child with a positive skin test in clinical practice remains challenging and highlights the need for longitudinal studies to determine the negative predictive value of IGRAs.
Fast, Cheap Testing for Tuberculosis? Soon It May Be Possible
Diagnosing a lung disease like tuberculosis with a urine test may seem illogical, but a group of American researchers is now a step closer to that goal. Scientists at George Mason University have improved by at least 100 times the accuracy of testing for a sugar shed by tuberculosis bacteria, meaning that a simple dipstick urine test may soon become possible.
Importance of Screening For Tuberculosis Infection in the Ob/Gyn Community
Because of the low incidence of TB in the United States, community-based screening is not currently indicated. Several high-risk groups commonly seen in ob/gyn practices, however, should receive a TB screen.
New Screening Technology Could Enable Early Detection of Childhood Tuberculosis
Researchers at Tulane University School of Medicine have developed a highly sensitive blood test that can find traces of the bacteria that causes tuberculosis (TB) in infants a year before they develop the deadly disease, according to a study published in BMC Medicine.
Systematic screening for active tuberculosis
The primary objective of screening is to ensure that active TB is detected early to reduce the risk of poor disease outcomes and the adverse social and economic consequences of the disease, as well as help reduce TB transmission.
This startup changes the way we detect Covid-19, TB
Qure.ai, a Mumbai-based startup, has given a shot in the arm for healthcare globally. It uses the historical data of chest X-rays to detect pulmonary-related diseases using A.I. tools.
Tuberculosis Screening
Simultaneous testing with both TST and IGRA is not recommended. Neither test can discriminate between LTBI, TB disease, and treated infections.
CDC
There are two kinds of tests that are used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease.
MedlinePlus
There are two types of TB tests used for screening: a TB skin test and a TB blood test. These tests can show if you have ever been infected with TB. They don't show if you have a latent or active TB infection. More tests will be needed to confirm or rule out a diagnosis.
StatPearls
The tuberculin skin test (TST) and the interferon-gamma release assay (IGRA) are the current methods for screening and are based on the measurement of adaptive host immune response.

Introducing Stitches!
Your Path to Meaningful Connections in the World of Health and Medicine
Connect, Collaborate, and Engage!
Coming Soon - Stitches, the innovative chat app from the creators of HWN. Join meaningful conversations on health and medical topics. Share text, images, and videos seamlessly. Connect directly within HWN's topic pages and articles.