ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN
Present study has revealed low diagnostic value of Mantoux test with 2 TE in detection of tuberculosis in MBT-infected children, thus requiring implementation of novel methods. Detectable activity of tuberculosis infection among observed children with low tuberculin sensitivity was found in 23.8% of...
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oai:doaj.org-article:2ef57e2e64044786ba85ee148241c8d82021-11-18T08:03:37ZROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN1563-06252313-741X10.15789/1563-0625-2013-1-37-44https://doaj.org/article/2ef57e2e64044786ba85ee148241c8d82014-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/47https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XPresent study has revealed low diagnostic value of Mantoux test with 2 TE in detection of tuberculosis in MBT-infected children, thus requiring implementation of novel methods. Detectable activity of tuberculosis infection among observed children with low tuberculin sensitivity was found in 23.8% of cases, as revealed by Diaskin test, as compared to 42.7% cases in a group with moderate sensitivity to tuberculin. As shown by radiological data it was accompanied by enlargement of intrathoracic lymphatic nodes in 14.3% and 53.0% cases, respectively. The data obtained with Diaskin probe were confirmed by a reference QuantiFERON testing in 95% cases. Parameters of diagnostic value for Diaskin test are two-fold higher than for Mantoux test with 2 TE. Positivity for Diaskin test reflects activity of tuberculosis infection which is accompanied by clear clinical signs in 67.3% cases, and, in 80% cases, it ischaracterized by enlargement of intrathoracic lymphatic nodes as based on radiologic data, thus arranging a risk group for tuberculosis morbidity in children. Appropriate recommendations for these patients include a fullscale phthisiatric assessment and administration of well justified and adequate therapy.P. K. IablonskiyI. F. DovgaljukA. A. StarshinovaO. A. IakunovaSPb RAACIarticletuberculosischildrendiaskin testcomputer tomographydiagnosticsImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 15, Iss 1, Pp 37-44 (2014) |
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tuberculosis children diaskin test computer tomography diagnostics Immunologic diseases. Allergy RC581-607 |
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tuberculosis children diaskin test computer tomography diagnostics Immunologic diseases. Allergy RC581-607 P. K. Iablonskiy I. F. Dovgaljuk A. A. Starshinova O. A. Iakunova ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
description |
Present study has revealed low diagnostic value of Mantoux test with 2 TE in detection of tuberculosis in MBT-infected children, thus requiring implementation of novel methods. Detectable activity of tuberculosis infection among observed children with low tuberculin sensitivity was found in 23.8% of cases, as revealed by Diaskin test, as compared to 42.7% cases in a group with moderate sensitivity to tuberculin. As shown by radiological data it was accompanied by enlargement of intrathoracic lymphatic nodes in 14.3% and 53.0% cases, respectively. The data obtained with Diaskin probe were confirmed by a reference QuantiFERON testing in 95% cases. Parameters of diagnostic value for Diaskin test are two-fold higher than for Mantoux test with 2 TE. Positivity for Diaskin test reflects activity of tuberculosis infection which is accompanied by clear clinical signs in 67.3% cases, and, in 80% cases, it ischaracterized by enlargement of intrathoracic lymphatic nodes as based on radiologic data, thus arranging a risk group for tuberculosis morbidity in children. Appropriate recommendations for these patients include a fullscale phthisiatric assessment and administration of well justified and adequate therapy. |
format |
article |
author |
P. K. Iablonskiy I. F. Dovgaljuk A. A. Starshinova O. A. Iakunova |
author_facet |
P. K. Iablonskiy I. F. Dovgaljuk A. A. Starshinova O. A. Iakunova |
author_sort |
P. K. Iablonskiy |
title |
ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
title_short |
ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
title_full |
ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
title_fullStr |
ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
title_full_unstemmed |
ROLE OF MODERN IMMUNOLOGIC TESTS IN DIAGNOSTICS OF TUBERCULOSIS IN CHILDREN |
title_sort |
role of modern immunologic tests in diagnostics of tuberculosis in children |
publisher |
SPb RAACI |
publishDate |
2014 |
url |
https://doaj.org/article/2ef57e2e64044786ba85ee148241c8d8 |
work_keys_str_mv |
AT pkiablonskiy roleofmodernimmunologictestsindiagnosticsoftuberculosisinchildren AT ifdovgaljuk roleofmodernimmunologictestsindiagnosticsoftuberculosisinchildren AT aastarshinova roleofmodernimmunologictestsindiagnosticsoftuberculosisinchildren AT oaiakunova roleofmodernimmunologictestsindiagnosticsoftuberculosisinchildren |
_version_ |
1718422533589434368 |