Real-World Outcomes of Chemiluminescence Immunoassay Implementation for <i>Mycobacterium tuberculosis</i> Infection Screening

Unstructured Abstract Fully automated CLIA-based interferon gamma release assays (IGRA) promise more efficient testing for tuberculosis infection but increase positive test rates compared to semi-automated assays. We report an increase in borderline-positive IGRA results (87.8% relative increase, 95% CI: 31.1–170.0%) which led to modifications in clinical care following CLIA assay implementation.

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Publication Details

Journal
Open Forum Infectious Diseases
Published
2026-04-21
DOI
https://doi.org/10.1093/ofid/ofag234
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
Field-Weighted Citation Impact
0.00
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article

Real-World Outcomes of Chemiluminescence Immunoassay Implementation for Mycobacterium tuberculosis Infection Screening

Yun F. Wang, Bruce Aldred, Paulina A. Rebolledo, Eli Wilber et al.
Open Forum Infectious Diseases
Tuberculosis Research and Epidemiology
article

Real-World Outcomes of Chemiluminescence Immunoassay Implementation for Mycobacterium tuberculosis Infection Screening

Yun F. Wang, Bruce Aldred, Paulina A. Rebolledo, Eli Wilber, Sheetal Kandiah, Susan M Ray, Marcos C Schechter
article en

Abstract

Unstructured Abstract Fully automated CLIA-based interferon gamma release assays (IGRA) promise more efficient testing for tuberculosis infection but increase positive test rates compared to semi-automated assays. We report an increase in borderline-positive IGRA results (87.8% relative increase, 95% CI: 31.1–170.0%) which led to modifications in clinical care following CLIA assay implementation.

Open Forum Infectious Diseases
Emory University (US), Grady Health System (US)
Good health and well-being
Openalex Percentile: Top 8%
Tuberculosis Research and Epidemiology
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