About this trial
The goal of this observational study is to investigate the proportion of Mycobacterium tuberculosis (MTB) infection in school contacts of active tuberculosis (ATB) patients. The main questions it aims to answer are:
* the proportion of MTB infection among school contacts of ATB patients * risk factors related to tuberculosis (TB) infection * health economic evaluation of screening strategy
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
13 years old or above;
Students in junior middle school, high school and university;
Close contact of school active tuberculosis case (e.g. in the same classroom, in the same dormitory);
Himself/herself (together with his/her guardian for age under 18 years old) willing to participate in trial and sign informed consent.
Disqualifiers
Current clinical or sputum culture confirmed active tuberculosis
Have completed a full course of treatment for ATB or LTBI
Trial population
Students in junior middle schools, high schools and universities from Guizhou Province, China
Trial design
Other
Cross-sectional
Treatments tested in this trial
QuantiFERON-TB Gold (QFT) test
Diagnostic testParticipants will be tested by QuantiFERON-TB Gold (QFT) test to see if they have ever infected by MTB. Those with positive results will proceed to sputum Xpert MTB/RIF, physical examination and chest CT scan, as well as sputum culture if necessary to distinguish latent TB infection (LTBI) from ATB. X-ray scan is conditional on age above 15 years with a positive QuantiFERON-TB Gold (QFT) test result.
Treatment groups
Trial outcomes
Primary outcomes
The prevalence of tuberculosis (TB) infection in school contacts
The prevalence of TB infection is defined as the number of participants with positive results in QuantiFERON-TB Gold (QFT) test in study population. Positive result in QFT test indicates higher response than the cut-off value of 0.35 IU / ml of INF-γ detected in at least one test tube (TB1 or TB2).
Secondary outcomes
Age
Age as possible risk factor of tuberculosis infection
Sex
Sex as possible risk factor of tuberculosis infection.
Vaccination history checklist
Bacillus Calmette-Guérin (BCG) vaccination history as possible risk factor of tuberculosis infection.
Patterns of contacting checklist
Duration, size of space of exposure to active tuberculosis-infected patient; as possible risk factor of tuberculosis infection.
Sponsors and contacts
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Huashan Hospital
Lead sponsor
Guizhou Center for Disease Control and Prevention
Collaborator