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Comparison of the tuberculin skin test and the QuantiFERON-TB Gold test in detecting latent tuberculosis in health care workers in Iran
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Ehsan Mostafavi
 , Mahshid Nasehi, Abdolrazagh Hashemi Shahraki, Saber Esmaeili, Ebrahim Ghaderi, Saeed Sharafi, Amin Doosti-Irani
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Epidemiol Health. 2016;38:e2016032. Published online July 24, 2016
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DOI: https://doi.org/10.4178/epih.e2016032
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Abstract
OBJECTIVES
The tuberculin skin test (TST) and the QuantiFERON-TB Gold test (QFT) are used to identify latent tuberculosis infections (LTBIs). The aim of this study was to determine the agreement between these two tests among health care workers in Iran.
METHODS This cross-sectional study included 177 tuberculosis (TB) laboratory staff and 67 non-TB staff. TST indurations of 10 mm or more were considered positive. The Student’s t-test and the chi-square test were used to compare the mean score and proportion of variables between the TB laboratory staff and the non-TB laboratory staff. Kappa statistics were used to evaluate the agreement between these tests, and logistic regression was used to assess the risk factors associated with positive results for each test.
RESULTS The prevalence of LTBIs according to both the QFT and the TST was 17% (95% confidence interval [CI], 12% to 21%) and 16% (95% CI, 11% to 21%), respectively. The agreement between the QFT and the TST was 77.46%, with a kappa of 0.19 (95% CI, 0.04 to 0.34).
CONCLUSIONS Although the prevalence of LTBI based on the QFT and the TST was not significantly different, the kappa statistic was low between these two tests for the detection of LTBIs.
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Citations
Citations to this article as recorded by  - Meta-analysis of latent tuberculosis in healthcare workers in Iran: a retrospective review
NazaninZahra Sepehri, Seyed Mohammad Saghanezhad, Farshad Khoddami, Amin Arasteh, Marziyeh Delirakbariazar, Azad Khaledi
Transactions of The Royal Society of Tropical Medicine and Hygiene.2021; 115(9): 965. CrossRef - Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries—A Systematic Review and Meta-Analysis
Claudia Peters, Agnessa Kozak, Albert Nienhaus, Anja Schablon
International Journal of Environmental Research and Public Health.2020; 17(2): 581. CrossRef - Latent tuberculosis infection in healthcare workers in low- and middle-income countries: an updated systematic review
Lika Apriani, Susan McAllister, Katrina Sharples, Bachti Alisjahbana, Rovina Ruslami, Philip C. Hill, Dick Menzies
European Respiratory Journal.2019; 53(4): 1801789. CrossRef - Latent Tuberculosis Infection among Healthcare Workers in Duhok Province: From Screening to Prophylactic Treatment
Hind Bahzad Almufty, Ibtesam Salih Abdulrahman, Muayad Aghali Merza
Tropical Medicine and Infectious Disease.2019; 4(2): 85. CrossRef - Is latent tuberculosis infection challenging in Iranian health care workers? A systematic review and meta-analysis
Mohammad Hossein YektaKooshali, Farahnaz Movahedzadeh, Ali Alavi Foumani, Hoda Sabati, Alireza Jafari, HASNAIN SEYED EHTESHAM
PLOS ONE.2019; 14(10): e0223335. CrossRef - Interferon-gamma release assay for the diagnosis of latent tuberculosis infection: A latent-class analysis
Tan N. Doan, Damon P. Eisen, Morgan T. Rose, Andrew Slack, Grace Stearnes, Emma S. McBryde, Lei Gao
PLOS ONE.2017; 12(11): e0188631. CrossRef - Prevalence of latent tuberculosis infection among tuberculosis laboratory workers in Iran
Mahshid Nasehi, Abdolrazagh Hashemi-Shahraki, Amin Doosti-Irani, Saeed Sharafi, Ehsan Mostafavi
Epidemiology and Health.2016; 39: e2017002. CrossRef
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Tularemia and plague survey in rodents in an earthquake zone in southeastern Iran
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Behzad Pourhossein, Saber Esmaeili, Miklós Gyuranecz
 , Ehsan Mostafavi
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Epidemiol Health. 2015;37:e2015050. Published online November 17, 2015
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DOI: https://doi.org/10.4178/epih/e2015050
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11,998
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118
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18
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Abstract
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Abstract
OBJECTIVES
Earthquakes are one the most common natural disasters that lead to increased mortality and morbidity from transmissible diseases, partially because the rodents displaced by an earthquake can lead to an increased rate of disease transmission. The aim of this study was to evaluate the prevalence of plague and tularemia in rodents in the earthquake zones in southeastern Iran.
METHODS In April 2013, a research team was dispatched to explore the possible presence of diseases in rodents displaced by a recent earthquake magnitude 7.7 around the cities of Khash and Saravan in Sistan and Baluchestan Province. Rodents were trapped near and in the earthquake zone, in a location where an outbreak of tularemia was reported in 2007. Rodent serums were tested for a serological survey using an enzyme-linked immunosorbent assay.
RESULTS In the 13 areas that were studied, nine rodents were caught over a total of 200 trap-days. Fortyeight fleas and 10 ticks were obtained from the rodents. The ticks were from the Hyalomma genus and the fleas were from the Xenopsylla genus. All the trapped rodents were Tatera indica. Serological results were negative for plague, but the serum agglutination test was positive for tularemia in one of the rodents. Tatera indica has never been previously documented to be involved in the transmission of tularemia.
CONCLUSIONS No evidence of the plague cycle was found in the rodents of the area, but evidence was found of tularemia infection in rodents, as demonstrated by a positive serological test for tularemia in one rodent.
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Summary
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Citations
Citations to this article as recorded by - Francisella and tularemia in western Asia, Iran: a systematic review
Zahra Fooladfar, Farhad Moradi
New Microbes and New Infections.2023; 52: 101092. CrossRef - The source of the Black Death in fourteenth-century central Eurasia
Maria A. Spyrou, Lyazzat Musralina, Guido A. Gnecchi Ruscone, Arthur Kocher, Pier-Giorgio Borbone, Valeri I. Khartanovich, Alexandra Buzhilova, Leyla Djansugurova, Kirsten I. Bos, Denise Kühnert, Wolfgang Haak, Philip Slavin, Johannes Krause
Nature.2022; 606(7915): 718. CrossRef - Analysis of the intellectual and social structure of health system response plan to earthquake studies adopting word co-occurrence and narrative approaches
SeyedHossein Mousavi, Hamidreza Khankeh, Golrokh Atighechian, MohammadH Yarmohammadian, Mehrdad Memarzadeh
Journal of Education and Health Promotion.2022; 11(1): 362. CrossRef - Francisella tularensis survey among ranchers and livestock in western Iran
Hossein Ahangari Cohan, Mahmoud Jamshidian, Mahdi Rohani, Meysam Moravedji, Ehsan Mostafavi
Comparative Immunology, Microbiology and Infectious Diseases.2021; 74: 101598. CrossRef - Vector-borne diseases in Iran: epidemiology and key challenges
Najmeh Parhizgari, Norair Piazak, Ehsan Mostafavi
Future Microbiology.2021; 16(1): 51. CrossRef - Rodent Ectoparasites in the Middle East: A Systematic Review and Meta-Analysis
Md Mazharul Islam, Elmoubashar Farag, Khalid Eltom, Mohammad Mahmudul Hassan, Devendra Bansal, Francis Schaffner, Jolyon M. Medlock, Hamad Al-Romaihi, Zilungile Mkhize-Kwitshana
Pathogens.2021; 10(2): 139. CrossRef - Francisella tularensis human infections in a village of northwest Iran
Saber Esmaeili, Mahdi Rohani, Ahmad Ghasemi, Mohammad Mehdi Gouya, Simin Khayatzadeh, Ahmad Mahmoudi, Hossein Ahangari Cohan, Anders Johansson, Max Maurin, Ehsan Mostafavi
BMC Infectious Diseases.2021;[Epub] CrossRef - Surveillance of Francisella tularensis in surface water of Kurdistan province, west of Iran
Hossein Ahangari Cohan, Mahmoud Jamshidian, Mahdi Rohani, Meysam Moravedji, Ehsan Mostafavi
Comparative Immunology, Microbiology and Infectious Diseases.2020; 69: 101419. CrossRef - Wild Rodents and Their Ectoparasites in an Enzootic Plague Focus, Western Iran
Ali Mohammadi, Mohammad Mehdi Sedaghat, Mohammad Reza Abai, Jamshid Darvish, Iraj Mobedi, Ahmad Mahmoudi, Ehsan Mostafavi
Vector-Borne and Zoonotic Diseases.2020; 20(5): 334. CrossRef - Cross-sectional sero-prevalence of tularemia among murine rodents of Nepal
Narayan Acharya, Krishna Prasad Acharya, Ishwari Prasad Dhakal
Comparative Clinical Pathology.2019; 28(2): 517. CrossRef - A detailed review of the mosquitoes (Diptera: Culicidae) of Iran and their medical and veterinary importance
Shahyad Azari-Hamidian, Behzad Norouzi, Ralph E. Harbach
Acta Tropica.2019; 194: 106. CrossRef - Epidemiological survey of tularemia in Ilam Province, west of Iran
Saber Esmaeili, Ahmad Ghasemi, Razi Naserifar, Ali Jalilian, Leila Molaeipoor, Max Maurin, Ehsan Mostafavi
BMC Infectious Diseases.2019;[Epub] CrossRef - Seroepidemiological study of Q fever, brucellosis and tularemia in butchers and slaughterhouses workers in Lorestan, western of Iran
Saber Esmaeili, Fahimeh Bagheri Amiri, Hamid Mokhayeri, Mohammad Hassan Kayedi, Max Maurin, Mahdi Rohani, Ehsan Mostafavi
Comparative Immunology, Microbiology and Infectious Diseases.2019; 66: 101322. CrossRef - The fauna and perspective of rodentia ectoparasites in Iran relying on their roles within public health and veterinary characteristics
Mousa khosravani
Journal of Parasitic Diseases.2018; 42(1): 1. CrossRef - Rodent-borne diseases and their public health importance in Iran
Mohammad Hasan Rabiee, Ahmad Mahmoudi, Roohollah Siahsarvie, Boris Kryštufek, Ehsan Mostafavi, Peter J. Krause
PLOS Neglected Tropical Diseases.2018; 12(4): e0006256. CrossRef - Molecular Survey of Tularemia and Plague in Small Mammals From Iran
Ehsan Mostafavi, Ahmad Ghasemi, Mahdi Rohani, Leila Molaeipoor, Saber Esmaeili, Zeinolabedin Mohammadi, Ahmad Mahmoudi, Mansour Aliabadian, Anders Johansson
Frontiers in Cellular and Infection Microbiology.2018;[Epub] CrossRef - A Field Study of Plague and Tularemia in Rodents, Western Iran
Ehsan Mostafavi, Abdolrazagh Hashemi Shahraki, Alireza Japoni-Nejad, Saber Esmaeili, Jamshid Darvish, Mohammad Mehdi Sedaghat, Ali Mohammadi, Zeinolabedin Mohammadi, Ahmad Mahmoudi, Behzad Pourhossein, Ahmad Ghasemi, Miklós Gyuranecz, Elisabeth Carniel
Vector-Borne and Zoonotic Diseases.2017; 17(4): 247. CrossRef - Upsurge of Rodents’ Population in a Rural Area of Northeastern Iran Raised Concerns about Rodent-borne Diseases
Ahmad Ghasemi, Saber Esmaeili, Abdolrazagh Hashemi Shahraki, Hamed Hanifi, Zeinolabedin Mohammadi, Ahmad Mahmoudi, Mahdi Rohani, Ehsan Mostafavi
Journal of Medical Microbiology and Infectious Diseases .2017; 5(1): 21. CrossRef
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