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The Journal of hospital infection, 2014-08, Vol.87 (4), p.241-244
2014
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Details

Autor(en) / Beteiligte
Titel
Tuberculosis screening in a dialysis unit: detecting latent tuberculosis infection is only half the problem
Ist Teil von
  • The Journal of hospital infection, 2014-08, Vol.87 (4), p.241-244
Ort / Verlag
Kidlington: Elsevier Ltd
Erscheinungsjahr
2014
Quelle
MEDLINE
Beschreibungen/Notizen
  • Summary Patients with chronic kidney disease are at increased risk of tuberculosis. We describe the events that occurred when we encountered a patient receiving haemodialysis with pulmonary tuberculosis. Nine (of 41) patients dialysing at the same time as the index case had a positive interferon-gamma release assay (IGRA) and were offered therapy for latent tuberculosis infection (LTBI). Patients with an initial negative IGRA were rescreened at six months, identifying a further three IGRA-positive patients. All patients were then rescreened at 12 months. No new IGRA-positive cases were identified and no staff or patients developed active disease. Only five of the 12 IGRA-positive patients completed LTBI therapy.

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