Management of latent tuberculosis infections in australia and new zealand: a review of current practice.

Tuberculosis Research and Treatment
Justin T Denholm, Emma S McBryde

Abstract

To survey practices in the diagnosis and management of latent tuberculosis infection (LTBI) in Australia and New Zealand. Infectious diseases and respiratory physicians and trainees were invited to complete an online questionnaire concerning various aspects of LTBI management. The questionnaire was completed by 126 clinicians self-reporting regular management of LTBI. Respondents were experienced physicians, with 95/126 (75.4%) having managed LTBI for more than 5 years. Forty-seven (37.3%) reported seeing more than 5 patients per month for assessment of LTBI. Substantial variation among clinicians was reported in relation to a number of common clinical scenarios. For instance, while 52/126 (43.7%) informed patients that the incidence of severe hepatotoxicity related to isoniazid monotherapy was 0.1-0.5%, 21/126 (15.7%) thought it was >5%. 36/126 (28.6%) clinicians would proceed with TNF-αtherapy following an indeterminate screening: interferon-γassay, while 78/126 (61.9%) would perform further investigations and 12/126 (9.5%) would initiate isoniazid therapy. Follow-up intervals during therapy varied from 1-3 monthly, with liver function testing performed routinely by 89/126 (70.6%). This study demonstrated a large degree of va...Continue Reading

References

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Citations

Jun 30, 2016·The American Journal of Tropical Medicine and Hygiene·Sabine BélardMartin P Grobusch
Nov 7, 2018·BMJ Open Respiratory Research·Laila ParvareshBen J Marais
Jan 20, 2015·Tropical Medicine & International Health : TM & IH·K VineyS Mase
Aug 20, 2019·Health and Quality of Life Outcomes·Ammar Ali Saleh Jaber, Baharudin Ibrahim

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