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. 2023 Jul;42(7):899-902. doi: 10.1007/s10096-023-04613-w. Epub 2023 May 1.

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.

Keywords: Hematopoietic stem cell transplantation; Immunocompromised host; Interferon-gamma release tests; Tuberculin; Tuberculosis.

MeSH terms

  • Adult
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Interferon-gamma Release Tests
  • Latent Tuberculosis* / diagnosis
  • Latent Tuberculosis* / epidemiology
  • Latent Tuberculosis* / microbiology
  • Mycobacterium tuberculosis*
  • Prevalence
  • Tuberculin Test
  • Tuberculosis* / diagnosis
  • Tuberculosis* / epidemiology