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All Journal Jurnal Kedokteran Brawijaya Jurnal Kesehatan Andalas Indonesian Journal of Tropical and Infectious Disease MNJ (Malang Neurology Journal) Paediatrica Indonesiana Majalah Kesehatan FKUB Indonesian Journal of Chemistry Jurnal Respirologi Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Narra J Pediatric Sciences Journal
Agustin Iskandar
Departemen Patologi Klinik Dan Kedokteran Laboratorium, Fakultas Kedokteran, Universitas Brawijaya / RSUD Dr Saiful Anwar, Malang
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Earth & Planetary Sciences Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Pediatric Sciences Journal

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A comparison of test duration for the clinical diagnosis of pediatric tuberculosis using Tuberculin Skin Test (TST) and Interferon Gamma Release Assays (IGRA) Olivianto, Ery; Iskandar, Agustin; Akmaly, Triyana Dian Dhuha; Mirza, Sarah Zoraya; Jahono, Maxie Felix
Pediatric Sciences Journal Vol. 6 No. 1 (2025): Available online : 1 June 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i1.118

Abstract

Background: Tuberculosis (TB) remains a major global health challenge, particularly among children. Diagnosing pediatric TB is complicated due to nonspecific symptoms and the difficulty of obtaining sputum samples for microbiological confirmation. Immunological tests, such as the tuberculin skin test (TST) and interferon-gamma release assays (IGRAs), are commonly used to support diagnosis. However, TST has several limitations, including the need for multiple patient visits and potential cross-reactivity with Bacillus Calmette-Guérin (BCG) vaccination. This study aimed to compare the efficiency of IGRA and TST in terms of turnaround time and patient compliance. Methods: A diagnostic time comparison study was conducted in pediatric patients with suspected pulmonary or extrapulmonary TB at Saiful Anwar Hospital, Malang. Patients underwent both TST and IGRA testing. The time required to obtain results and patient compliance was recorded and analyzed. o Results: A total of 94 pediatric patients were included, with 17 diagnosed with extrapulmonary TB and 77 with pulmonary TB. IGRA demonstrated a significantly shorter turnaround time (25.43 ± 6.31 hours for pulmonary TB, and 25.58 ± 6.37 hours for extrapulmonary TB) compared to TST (50.16 ± 6,93 hours for extrapulmonary TB and 50.34 ± 7.16 hours for pulmonary TB). Additionally, IGRA provided higher positivity rates in both pulmonary and extrapulmonary TB cases. Conclusion: IGRA offers a faster and more convenient alternative to TST for diagnosing pediatric TB. Despite its higher cost, the efficiency and single-visit requirement of IGRA makes it a preferable diagnostic tool in clinical settings, especially for children suspected of having TB.
Co-Authors Aditya Sri Listyoko Agustina Tri Endharti Aina Angelina Akmaly, Triyana Dian Dhuha Alim, Fathi Nabila Amalia, Najwa Anik Widijanti Aprilia, Andrea Aris Widayati Aryati Aryati Aryati Aryati Aryati Aryati Beti Ernawati Dewi Carla Pramudita Susanto Catur Suci Sutrisnani Corebima, Brigitta IRV Deasy Ayuningtyas Tandio Dewi, Rose Khasana Dian Nugrahenny Dina Fauziah Edi Widjajanto Eko Sulistijono Eko Sulistijono Ery Olivianto Fran Siska Hambiah Hari Oki Hambiah Hari Oki Hamid, Aulia A. Hardi Darmawan Hartanti, Khoirunisah Dwi Herdiman T. Pohan Ihda Dian Kusuma Indriana, Kristin Jahono, Maxie Felix Joko Agus Gunawan Karima, Karima Kautsarani, Intan Khadafi Indrawan Kristin Indriana Leonard Nainggolan Lindayanti Sumali Loeki Enggar Fitri Ludytajati, Ferine Maisaroh, Luluk Mayashita, Dearikha Karina Mirza, Sarah Zoraya Mufidatun Hasanah Muhammad Anshory Muhammad Anshory, Muhammad Mulyohadi Ali Mustika Dewi Nada Putri Pranidya Norwahyuni, Yuyun Novi Khila Firani Novi Kurnianingsih Nur Permatasari Nur Samsu Prameswari, Asri Pranidya, Nada Putri Pratama, Gusti Rajendra Yoga Putri Wulan Akbar Rahajuningsih Dharma Rambe, Annisa Fadhila Aurelia Rianto Setiabudy Riskawati, Yhusi Karina Rosari, M Angelina de Sanjaya, Hayyu Rafina Saptadi Yuliarto Seskoati Prayitnaningsih Settrin Chenderawasi Siska, Fran Sudjari Sudjari Suhendro Suhendro Syahfitri, Rininta Syahrul Chilmi Tri Wahju Astuti, Tri Wahju Triwahju Astuti Wafi, Muhammad Wihastuti TA Yeni Ayu Prihastuti Yeni Ayu Prihastuti Yuanita Mulyastuti Yuniasih, Kristina