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The level of concordance was adversely affected by prior bacille Calmette-Guérin (BCG) vaccination, immune reactivity to nontuberculous mycobacteria (NTM), and a prior positive TST. [3] In addition to the multicenter study, two other published studies have demonstrated moderate concordance between TST and QFT.
BCG vaccine can be administered after birth intradermally. [7] BCG vaccination can cause a false positive Mantoux test. [19] The most controversial aspect of BCG is the variable efficacy found in different clinical trials, which appears to depend on geography. Trials in the UK consistently show a 60 to 80% protective effect.
A false positive result may be caused by nontuberculous mycobacteria or previous administration of BCG vaccine. Vaccination with BCG may result in a false-positive result for many years after vaccination. [18] False positives can also occur when the injected area is touched, causing swelling and itching.
The BCG vaccine prevents severe forms of TB in children, such as TB meningitis. It would be expected that BCG would have the same effect in preventing severe forms of TB in children, even if they were exposed to XDR-TB. The vaccine has shown to be less effective at preventing the most common strains of TB and in blocking TB in adults. [6]
Tuberculosis (TB) vaccines are vaccinations intended for the prevention of tuberculosis.Immunotherapy as a defence against TB was first proposed in 1890 by Robert Koch. [1] As of 2021, the only effective tuberculosis vaccine in common use is the Bacillus Calmette-Guérin (BCG) vaccine, first used on humans in 1921.
Because these antigens are only present in few non-tuberculous mycobacteria or not in any BCG vaccine strain, these tests are thought to be more specific than the tuberculin skin test. [citation needed] The blood tests QuantiFERON-TB Gold In-Tube and T-SPOT.TB use these antigens to detect people with tuberculosis.
In this case, when that subject is given the test again (as is standard procedure, see above) they may have a significantly greater reaction to the test, giving a very strong positive; this can be commonly misdiagnosed as Tuberculin Conversion. This can also be triggered by receiving the BCG vaccine, as opposed to a proper infection.
[119] [120] [121] Part of the reasoning against the use of the vaccine is that it makes the tuberculin skin test falsely positive, reducing the test's usefulness as a screening tool. [121] Several vaccines are being developed. [14] Intradermal MVA85A vaccine in addition to BCG injection is not effective in preventing tuberculosis. [122]