Skip to main content

Advertisement

Log in

Prevalence of latent Mycobacterium tuberculosis infection in hematopoietic stem cell transplantation comparing tuberculin skin test and interferon-gamma release assay

  • Brief Report
  • Published:
European Journal of Clinical Microbiology & Infectious Diseases Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the prevalence of latent Mycobacterium tuberculosis infection in hematopoietic stem cell transplantation candidates, using tuberculin skin test and QuantiFERON-TB Gold-Plus, in a high-burden tuberculosis country. Adult candidates for hematopoietic stem cell transplantation performed both tests before and those submitted to transplantation were followed up for 12 months. The prevalence of latent Mycobacterium tuberculosis infection was 17.1% and a moderate agreement between QuantiFERON-TB Gold-Plus and tuberculin skin test was observed in this population. Previous tuberculosis exposure was a risk factor for latent Mycobacterium tuberculosis infection. No cases of tuberculosis were diagnosed during follow-up period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Abad CLR, Razonable RR (2018) An update on Mycobacterium tuberculosis infection after hematopoietic stem cell transplantation in adults. Clin Transplant 32(12):e13430

    Article  PubMed  Google Scholar 

  2. Tomblyn M, Chiller T, Einsele H et al (2009) Guidelines for preventing infectious complications among hematopoietic cell transplantation recipients: a global perspective. Biol Blood Marrow Transplant 15(10):1143–1238

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Shafeque A, Bigio J, Hogan CA, Pai M, Banaei N (2020) Fourth-generation QuantiFERON-TB Gold Plus: what is the evidence? J Clin Microbiol 58(9):e01950-19. https://doi.org/10.1128/JCM.01950-19

  4. World Health Organization (1963) The WHO standard tuberculin test. World Health Organization. https://apps.who.int/iris/handle/10665/112241

  5. Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics. 33(1):159

    Article  CAS  PubMed  Google Scholar 

  6. de Oliveira Rodrigues M, de Almeida Testa LH, Dos Santos AC, Zanetti LP, da Silva Ruiz L, de Souza MP, Colturato VR, Machado CM (2021) Latent and active tuberculosis infection in allogeneic hematopoietic stem cell transplant recipients: a prospective cohort study. Bone Marrow Transplant 56(9):2241–2247

    Article  PubMed  Google Scholar 

  7. Moon SM, Lee S-O, Choi S-H et al (2013) Comparison of the QuantiFERON-TB Gold In-Tube test with the tuberculin skin test for detecting latent tuberculosis infection prior to hematopoietic stem cell transplantation. Transpl Infect Dis 15(1):104–109

    Article  CAS  PubMed  Google Scholar 

  8. Park JH, Choi E-J, Park H-S et al (2020) Treatment of latent tuberculosis infection based on the interferon-γ release assay in allogeneic stem cell transplant recipients. Clin Infect Dis 71(8):1977–1979

    Article  CAS  PubMed  Google Scholar 

  9. Bourlon C, Camacho-Hernández R, Fierro-Angulo OM et al (2020) Latent tuberculosis in hematopoietic stem cell transplantation: diagnostic and therapeutic strategies to prevent disease activation in an endemic population. Biol Blood Marrow Transplant 26(7):1350–1354

    Article  PubMed  Google Scholar 

  10. Compagno M, Navarra A, Campogiani L et al (2022) Latent tuberculosis infection in haematopoietic stem cell transplant recipients: a retrospective Italian cohort study in Tor Vergata University Hospital, Rome. Int J Environ Res Public Health 19(17):10693

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Cheng MP, Kusztos AE, Bold TD et al (2019) Risk of latent tuberculosis reactivation after hematopoietic cell transplantation. Clin Infect Dis 69(5):869–872

    Article  PubMed  PubMed Central  Google Scholar 

  12. Qin L-L, Wang Q-R, Wang Q et al (2013) T-SPOT.TB for detection of tuberculosis infection among hematological malignancy patients and hematopoietic stem cell transplant recipients. Asian Pac J Cancer Prev 14(12):7415–7419

    Article  PubMed  Google Scholar 

  13. Lee Y-M, Lee S-O, Choi S-H et al (2014) A prospective longitudinal study evaluating the usefulness of the interferon-gamma releasing assay for predicting active tuberculosis in allogeneic hematopoietic stem cell transplant recipients. J Infect 69(2):165–173

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation and data colletion were performed by Victor Augusto Camarinha de Castro Lima, Ana Paula Torres Santos, Jessica Fernandes Ramos, Livia Mariano, Priscila Musqueira, Natalya Zaidan Maluf, and Vanderson Rocha. Analysis was performed and the first draft of the manuscript was written by Victor Augusto Camarinha de Castro Lima and Silvia Figueiredo Costa. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Victor A C Castro-Lima.

Ethics declarations

Ethics approval

This study was approved by the Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo ethics committee, in accordance with the ethical standards of the Helsinki declaration, and informed consent was obtained from all included individuals.

Conflict of interest

The authors declare no competing interests.

Additional information

Partial results of this study were submitted, accepted and presented as an abstract e-Poster (Number 4413) at 31st ECCMID, the European Congress of Clinical Microbiology and Infectious Diseases, that took place online on July 2021.

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Castro-Lima, V.A.C., Santos, A.P.T., Musqueira, P.T. et al. Prevalence of latent Mycobacterium tuberculosis infection in hematopoietic stem cell transplantation comparing tuberculin skin test and interferon-gamma release assay. Eur J Clin Microbiol Infect Dis 42, 899–902 (2023). https://doi.org/10.1007/s10096-023-04613-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10096-023-04613-w

Keywords

Navigation