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DNA Labs India

TB Gold Plus Interferon Gamma Release Assay (IGRA) Test

DNA Labs India | ISO 9001:2015 Certified

TB Gold Plus Interferon Gamma Release Assay (IGRA) Test

Short Name: TB Gold Plus IGRA

Also known as: TB Gold Plus, Tuberculosis Interferon Gamma Release Assay, TB IGRA

TB Gold Plus Interferon Gamma Release Assay (IGRA) Test test available at DNA Labs India for ₹4,500. Uses Enzyme Immunoassay on Whole blood samples. Results in Sample is accepted daily by 9 am. The report is delivered the next day via online portal, email, or WhatsApp.. Free home collection in 300+ cities across India.

Blood Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the TB Gold Plus IGRA test is to detect infection with Mycobacterium tuberculosis, including latent tuberculosis infection (LTBI). It is used as a screening tool in individuals at high risk of TB, such as contacts of active TB patients, immunocompromised individuals, and those being considered for immunosuppressive therapies. The test helps identify latent TB before it becomes active, particularly in patients about to start biologic treatment, and guides clinicians in taking preventive measures.

Test Code
3677
Price
₹4,500
Sample Type
Whole blood
Result Time
Sample is accepted daily by 9 am. The report is delivered the next day via online portal, email, or WhatsApp.
Fasting Required
No
Method
Enzyme Immunoassay
Step 1

Sample Collection

No special preparation is required. There is no fasting requirement.

Method: Venipuncture

Step 2

Laboratory Analysis

A blood sample will be drawn from a vein in the arm using standard venipuncture technique.

Step 3

Report Delivery

You can resume normal activities immediately. Minor bruising at the puncture site may occur but is harmless.

Timeline: Sample is accepted daily by 9 am. The report is delivered the next day via online portal, email, or WhatsApp.

Patient Instructions

1
Before the Test:No special preparation is required. Inform your doctor if you are taking immunosuppressive drugs or have received a live-virus vaccine recently.
2
During the Test:A healthcare professional will collect a blood sample from a vein in your arm. The process takes only a few minutes.
3
After the Test:After the sample is collected, you can leave immediately. There are no activity restrictions.

About This Test

Who Should Get This Test

The primary purpose of the TB Gold Plus IGRA test is to detect infection with Mycobacterium tuberculosis, including latent tuberculosis infection (LTBI). It is used as a screening tool in individuals at high risk of TB, such as contacts of active TB patients, immunocompromised individuals, and those being considered for immunosuppressive therapies. The test helps identify latent TB before it becomes active, particularly in patients about to start biologic treatment, and guides clinicians in taking preventive measures.

How to Prepare

  • No fasting is needed for this test.
  • If a tuberculin skin test (TST) is administered, the TB Gold Plus blood sample should be drawn at the same time as TST placement or within 3 days of it to avoid boosting.
  • If the patient is scheduled for a live-virus vaccine, the blood sample should be drawn on the same day of vaccination or 4–6 weeks after.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"TB Gold Plus IGRA is a valuable tool for detecting latent TB, especially in immunocompromised patients before starting biologic therapy."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole blood
Sample Volume5 ml (4 ml min.)
ContainerGreen top (Sodium/Lithium heparin) tube
Collection MethodVenipuncture

Sample Stability

12 hours
72 hours
Not acceptable
Sample Rejection Criteria:
  • Frozen blood samples
  • Hemolyzed samples
  • Clotted samples (if not anticoagulated properly)
  • Samples collected in tubes other than green-top lithium/sodium heparin

Understanding Your Results

The TB Gold Plus IGRA test measures the release of interferon-gamma (IFN-γ) from white blood cells in response to TB-specific antigens. The result is interpreted as positive, negative, or indeterminate based on the level of IFN-γ and the mitogen control.
📊

Positive

A positive result indicates infection with Mycobacterium tuberculosis. It does not distinguish between latent and active tuberculosis. Further clinical evaluation, including chest X-ray and sputum studies, is required.

📊

Negative

A negative result suggests that there is no tuberculosis infection. However, in symptomatic patients or when clinical suspicion is high, further diagnostic testing may be needed.

📊

Indeterminate

An indeterminate result indicates an uncertain immune response, often due to immunosuppression or improper sample handling. Repeat testing with a fresh sample is recommended.

⚠️ When to Consult a Doctor:

If the test result is positive, consult a doctor immediately for medical evaluation. A physician should also be consulted if you have symptoms such as chronic cough, unexplained weight loss, night sweats, or fever, even if the test is negative.

Limitations

  • The test does not distinguish between latent tuberculosis infection and active tuberculosis disease.
  • It may produce indeterminate results in patients with severe immunosuppression or hematological conditions.
  • In children under 5 years of age, the tuberculin skin test (TST) is preferred over IGRA.
  • Results should be interpreted in conjunction with clinical signs, symptoms, and other diagnostic tests.

Risks & Considerations

  • Mild pain or discomfort at the venipuncture site
  • Bruising or swelling around the puncture area
  • Light-headedness or fainting during blood draw (rare)
  • Infection (very rare, prevented by aseptic techniques)

Interfering Factors

  • Immunosuppressive medications that reduce T-cell function may cause false-negative or indeterminate results.
  • Live-virus vaccines administered recently (less than 4-6 weeks) may affect the immune response.
  • Improper sample handling, such as freezing or excessive hemolysis, can invalidate the test.
  • Low lymphocyte counts (lymphopenia) may lead to indeterminate results.

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Frequently Asked Questions

What is the TB Gold Plus IGRA test?
The TB Gold Plus IGRA test is a blood test that detects tuberculosis infection by measuring the release of interferon-gamma (IFN-?) from white blood cells after exposure to TB-specific antigens. It helps diagnose both latent and active tuberculosis infection.
What is the cost of the TB Gold Plus IGRA test in India?
At DNA Labs India, the TB Gold Plus IGRA test costs Rs 4500. This is an affordable price, and free home sample collection is provided for online bookings.
Is fasting required before the TB Gold Plus IGRA test?
No, fasting is not required. The test can be done at any time of the day without any special preparation.
How is the TB Gold Plus IGRA test performed?
A healthcare professional collects a blood sample from a vein in your arm into a green-top tube containing lithium heparin. The sample is then sent to the laboratory for enzyme immunoassay testing.
Who should get the TB Gold Plus IGRA test?
The test is recommended for people who have been in close contact with someone who has active tuberculosis, those with weakened immune systems, and patients who are about to start immunosuppressive therapy such as biologic agents. It is also used for screening high-risk individuals.
Can the TB Gold Plus IGRA test distinguish between latent and active TB?
No, the test cannot differentiate between latent tuberculosis infection and active tuberculosis disease. Additional tests such as chest X-ray and sputum culture are needed to diagnose active TB.
Can the TB Gold Plus IGRA test be done in children?
Yes, but in children younger than 5 years, the tuberculin skin test (TST) is generally recommended over IGRA. In older children, IGRA can be used as an alternative to TST.
Why is the TB Gold Plus test needed before starting biologic therapy?
Biologic agents used to treat autoimmune diseases suppress the immune system, which can cause latent tuberculosis infection to become active. Screening with TB Gold Plus before starting these medications is critical to detect and treat latent TB early.
How long does it take to get the TB Gold Plus IGRA report?
If the blood sample is submitted by 9 am, the report is typically delivered the next day. Reports are available through online portal, email, and WhatsApp.
Is home sample collection available for the TB Gold Plus IGRA test?
Yes, DNA Labs India offers free home sample collection for online bookings. The service is available in multiple cities across India, including Delhi, Mumbai, Bangalore, Hyderabad, and many more.
What are the storage conditions for the TB Gold Plus blood sample?
The collected blood sample should be kept at room temperature for up to 12 hours or refrigerated for up to 72 hours. It must not be frozen under any circumstances.
What does an indeterminate result in the TB Gold Plus IGRA test mean?
An indeterminate result means the test could not clearly determine whether tuberculosis infection is present. It may occur due to a weak immune response or improper sample handling. A repeat test is usually recommended.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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