학술논문

Evaluation of antibody responses to panels of M. tuberculosis antigens as a screening tool for active tuberculosis in Uganda.
Document Type
article
Source
PloS one. 12(8)
Subject
Humans
Tuberculosis
Recombinant Proteins
Antibodies
Bacterial
Antigens
Bacterial
Immunoassay
Sensitivity and Specificity
Algorithms
Adult
Middle Aged
Uganda
Female
Male
Antibodies
Bacterial
Antigens
General Science & Technology
Language
Abstract
BackgroundImproved systematic screening of high-risk groups is a key component of the tuberculosis (TB) elimination strategy endorsed by the World Health Organization (WHO). We used a multiplex microbead immunoassay to measure antibody responses to 28 M. tuberculosis (M.tb) antigens, and assessed whether combinations of antibody responses achieve accuracy thresholds required for a TB screening test.MethodsA random selection of plasma samples obtained from consecutive HIV-negative adults who were admitted to Mulago Hospital in Kampala, Uganda with cough ≥2 weeks' but 90%, specificity remained close to 70% with as few as 3 antigens included in the panels.ConclusionsMeasuring antibody responses to combinations of antigens could facilitate TB screening and should be further evaluated in populations being targeted for systematic screening.