Active Screening of Latent Tuberculosis Infection in School Contacts of Active Tuberculosis Patients

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age13+
SponsorHuashan Hospital

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 volunteers

Qualifiers

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

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • QuantiFERON-TB Gold (QFT) test

    Diagnostic test

    Participants 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

31,440 Participants
are divided into 1 treatment group
Group A: Contacts1 intervention

Trial outcomes

Primary outcomes

1

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).

Time frame
baseline

Secondary outcomes

1

Age

Age as possible risk factor of tuberculosis infection

Time frame
baseline
2

Sex

Sex as possible risk factor of tuberculosis infection.

Time frame
baseline
3

Vaccination history checklist

Bacillus Calmette-Guérin (BCG) vaccination history as possible risk factor of tuberculosis infection.

Time frame
baseline
4

Patterns of contacting checklist

Duration, size of space of exposure to active tuberculosis-infected patient; as possible risk factor of tuberculosis infection.

Time frame
baseline

Other outcomes

Sponsors and contacts

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Huashan Hospital

Lead sponsor

Guizhou Center for Disease Control and Prevention

Collaborator