Frequency of latent tuberculosis in patients receiving Anti-TNF-Alpha therapy

dc.contributor.authorCoşkunol, İpek
dc.contributor.authorTuran, Onur
dc.contributor.authorBaysak, Ayşegül
dc.contributor.authorSolmaz, Dilek
dc.contributor.authorCan, Gerçek
dc.date.accessioned2023-08-11T08:50:54Z
dc.date.available2023-08-11T08:50:54Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.description.abstractSetting-Objective: In this study, it was aimed to reveal the incidence of tuberculosis development in patients receiving tumor necrosis factor-alpha (TNF-?) blocker therapy, despite tuberculosis chemoprophylaxis. Design: 520 patients who were receiving anti TNF-? treatment in the last 3 years were evaluated retrospectively. Radiological imaging tuberculin skin test (TST), history of tuberculosis, BCG vaccine, chemoprophylaxis administration, used anti TNF-? drugs were recorded. Results: There were 265(51.0%) of the patients with ankylosing spondylitis (AS), 175(33.7%) with rheumatoid arthritis, 35(6.7%) with Crohn's, 10(1.9%) with ulcerative colitis (UC), 21(4.0%) with psoriatic arthritis, 14(2.7%) with psoriasis vulgaris. In total, 455 (79.6%) patients were given INH prophylaxis. Active tuberculosis development was observed in five patients (4: pulmonary,1: extrapulmonary; 3: UC, 2:AS) who all received anti TNF-? treatment (0.96%), infliximab. Three patients had tuberculosis disease in the 6th month, and the other 2 patients in the 5th and 24th month of their anti TNF-? treatments, and two had 9-month, and 1 had 6-month chemoprophylaxis history. Conclusion: The incidence of tuberculosis development in patients treated with anti TNF-? was found to be higher than the general population. In our country, where tuberculosis is still prevalent, patients receiving Anti TNF-? treatment (especially in-fliximab) should be carefully questioned and examined about tuberculosis.
dc.identifier.citationCoşkunol, İ., Turan, O., Baysak, A., Solmaz, D. ve Can, G. (2023). Frequency of latent tuberculosis in patients receiving Anti-TNF-Alpha therapy. African Health Sciences, 23(2), 128-132. https://dx.doi.org/10.4314/ahs.v23i2.14
dc.identifier.doi10.4314/ahs.v23i2.14
dc.identifier.endpage132
dc.identifier.issn1680-6905
dc.identifier.issn1729-0503
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85165941747
dc.identifier.scopusqualityQ3
dc.identifier.startpage128
dc.identifier.urihttps://dx.doi.org/10.4314/ahs.v23i2.14
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11306
dc.identifier.volume23
dc.identifier.wos001039372900014en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorBaysak, Ayşegül
dc.language.isoen
dc.publisherMakerere University, Medical School
dc.relation.ispartofAfrican Health Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectAnti-TNF-Alpha
dc.subjectTuberculin Skin Test
dc.subjectTuberculosis
dc.titleFrequency of latent tuberculosis in patients receiving Anti-TNF-Alpha therapy
dc.typeArticle

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