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The latter test determines the total number of individual effector T cells expressing IFN-γ. [citation needed] The indications for the test are still disputed. It has been evaluated for the diagnosis of latent tuberculosis in HIV patients (who frequently have a negative Mantoux test). [4]
Baseline test: ≥10 mm is positive (either first or second step); 0 to 9 mm is negative; Serial testing without known exposure: Increase of ≥10 mm is positive; Known exposure: ≥5 mm is positive in patients with baseline of 0 mm; ≥10 mm is positive in patients with negative baseline or previous screening result of >0 mm
An induration (palpable raised hardened area of skin) of more than 5–15 mm (depending upon the person's risk factors) to 10 Mantoux units is considered a positive result, indicating TB infection. [citation needed] 5 mm or more is positive in HIV-positive person; Recent contacts of TB case
The device, as modified, will be marketed under the trade name quantiferon-tb gold in-tube and is indicated for use as an in vitro diagnostic test using a peptide cocktail simulating esat-6, cfp-10 and tb 7.7(p4) proteins to stimulate cells in heparinized whole blood drawn directly into specialized blood collection tubes.
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
The test is then read 48 to 72 hours later by measuring the size of the largest papule or induration. Indications are usually classified as positive, negative, or doubtful. [2] Because it is not possible to control precisely the amount of tuberculin used in the tine test, a positive test should be verified using the Mantoux test. [3]
TB positive, indicating a sensitivity of 97.2%. [3] However, more recent data from a study in children with active TB disease in the UK suggest that the sensitivity of the T-SPOT. TB may in fact be worse than that of the tuberculin skin test (sensitivity reported as 66% and 82%, respectively). [ 4 ]
Abnormalities on chest radiographs may be suggestive of, but are never diagnostic of, TB. [1] However, if a person has a positive response to the tuberculin skin test and no symptoms of the disease, chest radiographs can be used to rule out the possibility of pulmonary TB. [citation needed]