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The second test is read 48–72 hours after injection. If the second test is positive, consider the person infected in the distant past. [23] If the second test is negative, consider the person uninfected. [24] A person who is diagnosed as "infected in the distant past" on two-step testing is called a "tuberculin reactor". [citation needed]
The U.S. Citizenship and Immigration Services has an additional TB classification for immigrants and refugees developed by the Centers for Disease Control and Prevention (CDC). [3] The B notification program is an important screening strategy to identify new arrivals who have a high risk for TB.
A TB blood test for baseline testing does not require two-step testing. If the skin test method is used to test HCP upon hire, then two-step testing should be used. A one-step test is not recommended. [18] The CDC has outlined further specifics on recommended testing for several scenarios. [22] In summary:
In a recently published metaanalysis, [26] with data from both developed and developing countries, QuantiFERON-TB Gold In Tube had a pooled sensitivity for active TB of 81% and specificity of 99.2%, whereas T-SPOT.TB had a pooled sensitivity of 87.5% and specificity of 86.3%. In head-to-head comparisons, the sensitivity of IGRAs surpassed TST.
The equivalent Mantoux test positive levels done with 10 TU (0.1 mL 100 TU/mL, 1:1000) are 0–4 mm induration (Heaf 0-1) 5–14 mm induration (Heaf 2) >15 mm induration (Heaf 3-4) The Mantoux test is preferred in the United States for the diagnosis of tuberculosis; multiple puncture tests, such as the Heaf test and Tine test, are not recommended.
The tine test is a multiple-puncture tuberculin skin test used to aid in the medical diagnosis of tuberculosis (TB). The tine test is similar to the Heaf test, although the Mantoux test is usually used instead. There are various forms of the tine tests which usually fall into two categories: the old tine test (OT) and the purified protein ...
The Center for Prevention Services was formed in 1980 as one of the original five CDC centers, at the same time CDC's name changed from the singular "Center for Disease Control" to plural "Centers for Disease Control". [2] The Center for Prevention Services became the National Center for HIV, STD, and TB Prevention in 1996. [3]
The Quantiferon-TB Gold test (QFT-G) is a whole-blood test for use as an aid in diagnosing Mycobacterium tuberculosis infection, including latent tuberculosis infection (LTBI) and tuberculosis (TB) disease. [15] This test was approved by the U.S. Food and Drug Administration (FDA) in 2005.