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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3 months of weekly rifapentine plus isoniazid | Active Comparator | 3 months of weekly rifapentine plus isoniazid |
|
| 9 months of daily isoniazid | Active Comparator | 9 months of daily isoniazid |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rifapentine and Isoniazid for 3 months | Drug | tuberculosis preventive therapy (TPT) with 3 months of weekly rifapentine plus isoniazid (3HP) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brain-Derived Neurotrophic Factor | Biomarker | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Inflammatory markers | aryl hydrocarbon receptor, adhesion molecules, dickkopf-related protein 1 | 9 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| I-Te Lee | Taichung Veterans General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taichung Veterans General Hospital | Taichung | 407219 | Taiwan |
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| ID | Term |
|---|---|
| D055985 | Latent Tuberculosis |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
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| ID | Term |
|---|---|
| C018421 | rifapentine |
| D007538 | Isoniazid |
| ID | Term |
|---|---|
| D006834 | Hydrazines |
| D009930 | Organic Chemicals |
| D007539 | Isonicotinic Acids |
| D000147 | Acids, Heterocyclic |
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|
| Isoniazid (INH) daily for 9 months | Drug | tuberculosis preventive therapy (TPT) with 9 months of daily isoniazid (9H) |
|
|
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D000085343 | Latent Infection |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D006571 |
| Heterocyclic Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |