Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00029028.xml
J Pediatr Infect Dis 2018; 13(02): 122-131
DOI: 10.1055/s-0037-1607232
DOI: 10.1055/s-0037-1607232
Review Article
The Clinician's Toolkit: Laboratory Tests in the Diagnosis of Childhood Tuberculosis Infection and Disease
Further Information
Publication History
24 March 2017
02 May 2017
Publication Date:
27 October 2017 (online)
Abstract
Smear microscopy and culture—the mainstay of tuberculosis (TB) diagnostics for the past century—fail to diagnose the majority of childhood TB cases. Promising new tests are becoming rapidly available, but their utility in childhood TB fails to surpass the accuracy of an astute clinician. In this review, we detail conventional and newer tests available for the diagnosis of TB infection and TB disease and their use in children, as well as potential others in development.
-
References
- 1 WHO. Global Tuberculosis Report 2016. Geneva: World Health Organization; 2016
- 2 Bacha JM, Ngo K, Clowes P. , et al. Why being an expert - despite xpert - remains crucial for children in high TB burden settings. BMC Infect Dis 2017; 17 (01) 123
- 3 Pai M, Behr MA, Dowdy D. , et al. Tuberculosis. Nat Rev Dis Primers 2016; 2: 16076
- 4 Cruz AT, Starke JR. Clinical manifestations of tuberculosis in children. Paediatr Respir Rev 2007; 8 (02) 107-117
- 5 Oliwa JN, Karumbi JM, Marais BJ, Madhi SA, Graham SM. Tuberculosis as a cause or comorbidity of childhood pneumonia in tuberculosis-endemic areas: a systematic review. Lancet Respir Med 2015; 3 (03) 235-243
- 6 Chintu C, Mudenda V, Lucas S. , et al; UNZA-UCLMS Project Paediatric Post-mortem Study Group. Lung diseases at necropsy in African children dying from respiratory illnesses: a descriptive necropsy study. Lancet 2002; 360 (9338): 985-990
- 7 Nantongo JM, Wobudeya E, Mupere E. , et al. High incidence of pulmonary tuberculosis in children admitted with severe pneumonia in Uganda. BMC Pediatr 2013; 13: 16
- 8 WHO. Guidance for National Tuberculosis Programmes on the Management of Tuberculosis in Children. Geneva: World Health Organization; 2014
- 9 Cheng TL, Ottolini M, Getson P, Wolf MD, Scheidt PC. Poor validity of parent reading of skin test induration in a high risk population. Pediatr Infect Dis J 1996; 15 (01) 90-92
- 10 Mahairas GG, Sabo PJ, Hickey MJ, Singh DC, Stover CK. Molecular analysis of genetic differences between Mycobacterium bovis BCG and virulent M. bovis. J Bacteriol 1996; 178 (05) 1274-1282
- 11 Harboe M, Oettinger T, Wiker HG, Rosenkrands I, Andersen P. Evidence for occurrence of the ESAT-6 protein in Mycobacterium tuberculosis and virulent Mycobacterium bovis and for its absence in Mycobacterium bovis BCG. Infect Immun 1996; 64 (01) 16-22
- 12 Andersen P, Munk ME, Pollock JM, Doherty TM. Specific immune-based diagnosis of tuberculosis. Lancet 2000; 356 (9235): 1099-1104
- 13 Connell TG, Rangaka MX, Curtis N, Wilkinson RJ. QuantiFERON-TB Gold: state of the art for the diagnosis of tuberculosis infection?. Expert Rev Mol Diagn 2006; 6 (05) 663-677
- 14 Lalvani A, Pathan AA, McShane H. , et al. Rapid detection of Mycobacterium tuberculosis infection by enumeration of antigen-specific T cells. Am J Respir Crit Care Med 2001; 163 (04) 824-828
- 15 Mandalakas AM, Detjen AK, Hesseling AC, Benedetti A, Menzies D. Interferon-gamma release assays and childhood tuberculosis: systematic review and meta-analysis. Int J Tuberc Lung Dis 2011; 15 (08) 1018-1032
- 16 Machingaidze S, Wiysonge CS, Gonzalez-Angulo Y. , et al. The utility of an interferon gamma release assay for diagnosis of latent tuberculosis infection and disease in children: a systematic review and meta-analysis. Pediatr Infect Dis J 2011; 30 (08) 694-700
- 17 Mandalakas AM, Kirchner HL, Walzl G. , et al. Optimizing the detection of recent tuberculosis infection in children in a high tuberculosis-HIV burden setting. Am J Respir Crit Care Med 2015; 191 (07) 820-830
- 18 Petruccioli E, Chiacchio T, Pepponi I. , et al. First characterization of the CD4 and CD8 T-cell responses to QuantiFERON-TB Plus. J Infect 2016; 73 (06) 588-597
- 19 Barcellini L, Borroni E, Brown J. , et al. First independent evaluation of QuantiFERON-TB Plus performance. Eur Respir J 2016; 47 (05) 1587-1590
- 20 Sakula A. Robert Koch: centenary of the discovery of the tubercle bacillus, 1882. Thorax 1982; 37 (04) 246-251
- 21 Procop GW. Laboratory diagnosis and susceptibility testing for Mycobacterium tuberculosis . Microbiol Spectr 2016 ;4(6)
- 22 Hesseling AC, Cotton MF, Jennings T. , et al. High incidence of tuberculosis among HIV-infected infants: evidence from a South African population-based study highlights the need for improved tuberculosis control strategies. Clin Infect Dis 2009; 48 (01) 108-114
- 23 Grisaru-Soen G, Savyon M, Sadot E. , et al. Congenital tuberculosis and management of exposure in neonatal and pediatric intensive care units. Int J Tuberc Lung Dis 2014; 18 (09) 1062-1065
- 24 Kunkel A, Abel Zur Wiesch P, Nathavitharana RR, Marx FM, Jenkins HE, Cohen T. Smear positivity in paediatric and adult tuberculosis: systematic review and meta-analysis. BMC Infect Dis 2016; 16: 282
- 25 Marais BJ, Brittle W, Painczyk K. , et al. Use of light-emitting diode fluorescence microscopy to detect acid-fast bacilli in sputum. Clin Infect Dis 2008; 47 (02) 203-207
- 26 Chaisson LH, Reber C, Phan H. , et al. Evaluation of mobile digital light-emitting diode fluorescence microscopy in Hanoi, Viet Nam. Int J Tuberc Lung Dis 2015; 19 (09) 1068-1072
- 27 Oberhelman RA, Soto-Castellares G, Caviedes L. , et al. Improved recovery of Mycobacterium tuberculosis from children using the microscopic observation drug susceptibility method. Pediatrics 2006; 118 (01) e100-e106
- 28 Tran ST, Renschler JP, Le HT. , et al. Diagnostic accuracy of microscopic Observation Drug Susceptibility (MODS) assay for pediatric tuberculosis in Hanoi, Vietnam. PLoS One 2013; 8 (09) e72100
- 29 WHO. Noncommercial Culture and Drug-Susceptibility Testing Methods for Screening Patients at Risk for Multidrug-Resistant Tuberculosis: Policy Statement. Geneva: WHO Press; 2011
- 30 Battaglioli T, Rintiswati N, Martin A. , et al. Comparative performance of Thin Layer Agar and Löwenstein-Jensen culture for diagnosis of tuberculosis. Clin Microbiol Infect 2013; 19 (11) E502-E508
- 31 Leung E, Minion J, Benedetti A, Pai M, Menzies D. Microcolony culture techniques for tuberculosis diagnosis: a systematic review. Int J Tuberc Lung Dis 2012; 16 (01) 16-23 , i–iii i–iii
- 32 Rapid diagnostic tests for tuberculosis: what is the appropriate use? American Thoracic Society Workshop. Am J Respir Crit Care Med 1997; 155 (05) 1804-1814
- 33 Delacourt C, Poveda JD, Chureau C. , et al. Use of polymerase chain reaction for improved diagnosis of tuberculosis in children. J Pediatr 1995; 126 (5 Pt 1): 703-709
- 34 Gomez-Pastrana D, Torronteras R, Caro P. , et al. Comparison of amplicor, in-house polymerase chain reaction, and conventional culture for the diagnosis of tuberculosis in children. Clin Infect Dis 2001; 32 (01) 17-22
- 35 Smith KC, Starke JR, Eisenach K, Ong LT, Denby M. Detection of Mycobacterium tuberculosis in clinical specimens from children using a polymerase chain reaction. Pediatrics 1996; 97 (02) 155-160
- 36 Detjen AK, DiNardo AR, Leyden J. , et al. Xpert MTB/RIF assay for the diagnosis of pulmonary tuberculosis in children: a systematic review and meta-analysis. Lancet Respir Med 2015; 3 (06) 451-461
- 37 Nicol MP, Workman L, Isaacs W. , et al. Accuracy of the Xpert MTB/RIF test for the diagnosis of pulmonary tuberculosis in children admitted to hospital in Cape Town, South Africa: a descriptive study. Lancet Infect Dis 2011; 11 (11) 819-824
- 38 Zar HJ, Workman L, Isaacs W, Dheda K, Zemanay W, Nicol MP. Rapid diagnosis of pulmonary tuberculosis in African children in a primary care setting by use of Xpert MTB/RIF on respiratory specimens: a prospective study. Lancet Glob Health 2013; 1 (02) e97-e104
- 39 Zar HJ, Workman L, Isaacs W. , et al. Rapid molecular diagnosis of pulmonary tuberculosis in children using nasopharyngeal specimens. Clin Infect Dis 2012; 55 (08) 1088-1095
- 40 Boyles TH, Hughes J, Cox V, Burton R, Meintjes G, Mendelson M. False-positive Xpert® MTB/RIF assays in previously treated patients: need for caution in interpreting results. Int J Tuberc Lung Dis 2014; 18 (07) 876-878
- 41 WHO. The use of molecular line probe assay for the detection of resistance to second-line anti-tuberculosis drugs. Expert Group Meeting Report. 2013
- 42 Musial CE, Tice LS, Stockman L, Roberts GD. Identification of mycobacteria from culture by using the Gen-Probe Rapid Diagnostic System for Mycobacterium avium complex and Mycobacterium tuberculosis complex. J Clin Microbiol 1988; 26 (10) 2120-2123
- 43 WHO. The Use of Loop-Mediated Isothermal Amplification (TB-LAMP) for the Diagnosis of Pulmonary Tuberculosis: Policy Guidance. Geneva: WHO; 2016
- 44 WHO. The Use of Lateral Flow Urine Lipoarabinomannan Assay (LF-LAM) for the Diagnosis and Screening of Active Tuberculosis in People Living with HIV. Geneva: WHO; 2015
- 45 Jones-López EC, Acuña-Villaorduña C, Ssebidandi M. , et al. Cough aerosols of Mycobacterium tuberculosis in the prediction of incident tuberculosis disease in household contacts. Clin Infect Dis 2016; 63 (01) 10-20
- 46 Phillips M, Basa-Dalay V, Blais J. , et al. Point-of-care breath test for biomarkers of active pulmonary tuberculosis. Tuberculosis (Edinb) 2012; 92 (04) 314-320
- 47 Kolk A, Hoelscher M, Maboko L. , et al. Electronic-nose technology using sputum samples in diagnosis of patients with tuberculosis. J Clin Microbiol 2010; 48 (11) 4235-4238
- 48 Reither K, Jugheli L, Glass TR. , et al. Evaluation of giant African pouched rats for detection of pulmonary tuberculosis in patients from a high-endemic setting. PLoS One 2015; 10 (10) e0135877
- 49 Mahoney A, Weetjens BJ, Cox C. , et al. Pouched rats' detection of tuberculosis in human sputum: comparison to culturing and polymerase chain reaction. Tuberc Res Treat 2012; 2012: 716989
- 50 Tuberculosis AAP. . In: Kimberlin DW, Brady MT, Jackson MA, Long SS. , eds. Red Book: 2015 Report of the Committee on Infectious Diseases, Elk Grove Village, IL: American Academy of Pediatrics; 2015: 805-831
- 51 Marais BJ, Gie RP, Schaaf HS. , et al. The clinical epidemiology of childhood pulmonary tuberculosis: a critical review of literature from the pre-chemotherapy era. Int J Tuberc Lung Dis 2004; 8 (03) 278-285