Latent Tuberculosis Infection
Conditions
Keywords
Latent tuberculosis infection, diabetes, observational study
Brief summary
The patients with poorly controlled DM underwent LTBI screening by using QuantiFERON (QFT). QFT-positivity predictors were evaluated. The patients with LTBI received tuberculosis preventive therapy, 9 months of daily isoniazid (9H) or 3 months of weekly rifapentine plus isoniazid (3HP), administered by pulmonologists. The completion rates and inflammatory markers were also investigated.
Detailed description
Poor control of diabetes mellitus (DM) increases active tuberculosis (TB) risk. Understanding risk factors for latent TB infection (LTBI) in this population is crucial for policy making. Under a collaborative multidisciplinary team consisting of endocrinologists and pulmonologists, patients with poorly controlled DM were enrolled; these patients underwent LTBI screening by using QuantiFERON (QFT). QFT-positivity predictors were evaluated. The patients with LTBI received tuberculosis preventive therapy, 9 months of daily isoniazid (9H) or 3 months of weekly rifapentine plus isoniazid (3HP), administered by pulmonologists. The completion rates and inflammatory markers were also investigated.
Interventions
tuberculosis preventive therapy (TPT) with 3 months of weekly rifapentine plus isoniazid (3HP)
tuberculosis preventive therapy (TPT) with 9 months of daily isoniazid (9H)
Sponsors
Study design
Eligibility
Inclusion criteria
* aged ≥45 years * poorly controlled DM (pDM), defined as HbA1c ≥9% within the preceding year
Exclusion criteria
* active TB * immunocompromise (use of immunosuppressors * current pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brain-Derived Neurotrophic Factor | 9 months | Biomarker |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inflammatory markers | 9 months | aryl hydrocarbon receptor, adhesion molecules, dickkopf-related protein 1 |
Countries
Taiwan