Evidence map›Paper›PMID 40960282›Full record

ArticleMicrobiology spectrum2025

Diagnostic accuracy of the ESAT6-CFP10 skin test for latent tuberculosis infection among jail detainees.

Xinru Fei, Shanshan Wang, Zhan Wang, Xinsong Hu, Cheng Chen, Limei Zhu, Leonardo Martinez, Peijun Tang, Qiao Liu

Abstract read
In one paragraph

Article in Microbiology spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xinru Fei *Chronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.ORCID 0009-0007-2883-1112
Shanshan Wang *Department of Tuberculosis, The Fourth People's Hospital of Lianyungang, Affiliated hospital of Nanjing Medical University Kangda College, Lianyungang City, Jiangsu Province, China.
Zhan WangChronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.
Xinsong HuChronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.
Cheng ChenChronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.
Limei ZhuChronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.ORCID 0000-0002-0448-8547
Leonardo MartinezDepartment of Epidemiology, School of Public Health, Boston University, Boston, Massachusetts, USA.
Peijun TangDepartment of Pulmonary Disease, The Affiliated Infectious Diseases Hospital of Soochow University, The Fifth People's Hospital of Suzhou, Suzhou City, Jiangsu Province, China.ORCID 0000-0002-8967-8568
Qiao LiuChronic Communicable Disease, Center for Disease Control and Prevention of Jiangsu Province, Nanjing City, Jiangsu Province, China.ORCID 0000-0002-3572-133X

Funding

National Natural Science Foundation of China 82574172, 82003516
6 · The paper itself

Abstract

As an alternative to the tuberculin skin test (TST) or QuantiFERON-TB Gold In-Tube (QFT-GIT), ESAT6-CFP10 (EC) skin test is an emerging screening method; however, its value in the diagnosis of latent tuberculosis infection (LTBI) in detainees is still unclear in China. Newly admitted detainees meeting inclusion criteria were enrolled, with demographic/clinical data collected via structured questionnaires. TST, EC skin test, and QFT-GIT screenings were performed, documenting the diameter of skin indurations and/or redness at injection sites and blistering reactions at injection sites. In total, 1,038 detainees were enrolled in this study from October 2022 to October 2023 with 236 LTBI (22.7%). The positive rate of TST, EC skin test, and QFT-GIT was 18.1%, 10.6% and 11.9%. The area under the curve for EC was 0.820, indicating a strong concordance with QFT-GIT (κ = 0.673). Compared with QFT-GIT, the sensitivity of EC was 66.9%, and the specificity was 97.0%. The mean induration diameter or redness of EC was significantly larger than that of TST ( IMPORTANCE: Jail detainees represent a vulnerable population with an elevated risk of tuberculosis. The EC skin test demonstrates promising potential as an alternative to traditional diagnostic methods, such as the TST and QFT-GIT assay, for LTBI screening. Targeted screening strategies can facilitate the early detection, diagnosis, and management of LTBI.

Indexed as

Antigens, BacterialBacterial ProteinsLatent TuberculosisPrisonersSkin TestsAdolescentAdultChinaFemaleHumansInterferon-gamma Release TestsMaleMass ScreeningMiddle AgedMycobacterium tuberculosisSensitivity and SpecificityAntigens, BacterialBacterial Proteinsdiagnostic valueESAT6-CFP10tuberculosistuberculosis infection

Identifiers

PMID40960282
PMCPMC12688083

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.