The definition of tuberculosis infection based on the spectrum of tuberculosis disease

Latent tuberculosis infection was the term traditionally used to indicate tuberculosis (TB) infection. This term was used to define “a state of persistent immune response to stimulation by Mycobacterium tuberculosis antigens through tests such as the tuberculin skin test (TST) or an interferon-γ rel...

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Autores principales: Giovanni Battista Migliori, Catherine W.M. Ong, Linda Petrone, Lia D'Ambrosio, Rosella Centis, Delia  Goletti
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Publicado: European Respiratory Society 2021
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spelling oai:doaj.org-article:36b94407d0054653aa1067c2fd0201402021-11-24T07:45:28ZThe definition of tuberculosis infection based on the spectrum of tuberculosis disease1810-68382073-473510.1183/20734735.0079-2021https://doaj.org/article/36b94407d0054653aa1067c2fd0201402021-09-01T00:00:00Zhttp://breathe.ersjournals.com/content/17/3/210079.fullhttps://doaj.org/toc/1810-6838https://doaj.org/toc/2073-4735Latent tuberculosis infection was the term traditionally used to indicate tuberculosis (TB) infection. This term was used to define “a state of persistent immune response to stimulation by Mycobacterium tuberculosis antigens through tests such as the tuberculin skin test (TST) or an interferon-γ release assay (IGRA) without clinically active TB”. Recent evidence indicates that the spectrum from TB infection to TB disease is much more complex, including a “continuum” of situations didactically reported as uninfected individual, TB infection, incipient TB, subclinical TB without signs/symptoms, subclinical TB with unrecognised signs/symptoms, and TB disease with signs/symptoms. Recent evidence suggests that subclinical TB is responsible for important M. tuberculosis transmission. This review describes the different stages described above and their relationships. It also summarises the new developments in prevention, diagnosis and treatment of TB infection as well as their public health and policy implications. Educational aims To describe the evolution of the definition of “tuberculosis infection” and didactically describe the continuum of stages existing between TB infection and disease. To discuss the recommended approaches to prevent, diagnose and treat TB infection.Giovanni Battista MiglioriCatherine W.M. OngLinda PetroneLia D'AmbrosioRosella CentisDelia  GolettiEuropean Respiratory SocietyarticleDiseases of the respiratory systemRC705-779ENBreathe, Vol 17, Iss 3 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the respiratory system
RC705-779
spellingShingle Diseases of the respiratory system
RC705-779
Giovanni Battista Migliori
Catherine W.M. Ong
Linda Petrone
Lia D'Ambrosio
Rosella Centis
Delia  Goletti
The definition of tuberculosis infection based on the spectrum of tuberculosis disease
description Latent tuberculosis infection was the term traditionally used to indicate tuberculosis (TB) infection. This term was used to define “a state of persistent immune response to stimulation by Mycobacterium tuberculosis antigens through tests such as the tuberculin skin test (TST) or an interferon-γ release assay (IGRA) without clinically active TB”. Recent evidence indicates that the spectrum from TB infection to TB disease is much more complex, including a “continuum” of situations didactically reported as uninfected individual, TB infection, incipient TB, subclinical TB without signs/symptoms, subclinical TB with unrecognised signs/symptoms, and TB disease with signs/symptoms. Recent evidence suggests that subclinical TB is responsible for important M. tuberculosis transmission. This review describes the different stages described above and their relationships. It also summarises the new developments in prevention, diagnosis and treatment of TB infection as well as their public health and policy implications. Educational aims To describe the evolution of the definition of “tuberculosis infection” and didactically describe the continuum of stages existing between TB infection and disease. To discuss the recommended approaches to prevent, diagnose and treat TB infection.
format article
author Giovanni Battista Migliori
Catherine W.M. Ong
Linda Petrone
Lia D'Ambrosio
Rosella Centis
Delia  Goletti
author_facet Giovanni Battista Migliori
Catherine W.M. Ong
Linda Petrone
Lia D'Ambrosio
Rosella Centis
Delia  Goletti
author_sort Giovanni Battista Migliori
title The definition of tuberculosis infection based on the spectrum of tuberculosis disease
title_short The definition of tuberculosis infection based on the spectrum of tuberculosis disease
title_full The definition of tuberculosis infection based on the spectrum of tuberculosis disease
title_fullStr The definition of tuberculosis infection based on the spectrum of tuberculosis disease
title_full_unstemmed The definition of tuberculosis infection based on the spectrum of tuberculosis disease
title_sort definition of tuberculosis infection based on the spectrum of tuberculosis disease
publisher European Respiratory Society
publishDate 2021
url https://doaj.org/article/36b94407d0054653aa1067c2fd020140
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