April 30, 2009

QFT and CT scan combo wins a guernsey

From the latest issue of the International Journal of Tuberculosis and Lung Disease comes the results of a study conducted by Korean TB authorities in which QuantiFERON®-TB Gold assay was used to confirm TST+ in a contact investigation;
...TST was positive in 388 subjects (37.2%), while QFT-G was positive in 7.6% (30/394).
Importantly they found that the combination of QFT with a CT scan was more effective than the "conventional" method of TST and X-ray.
...Compared to the conventional approach, the additional use of QFT-G in TST-positive subjects and chest CT in subgroups with a high probability of infection was found to be more effective in the differentiation between active TB, latent TB and non-infected subjects in a contact investigation.


Given the relatively small numbers of QFT+ the additional use of a CT scan could provide a modern and cost effective solution to the issue of determining infection status.

Quantiferon is approved in Korea with a reimbursement of 67,000 Won (AU$68.75)

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