Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study
Introduction: Diabetes mellitus (DM) is a known risk factor for tuberculosis (TB), leading to an approximate three-fold higher risk of developing active TB. However, epidemiological studies on the prevalence of latent TB infection (LTBI) in DM patients are lacking. In this study, we investigated th...
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The Journal of Infection in Developing Countries
2022-04-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/15839 |
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| author | Anne Chang Chung-Ze Wu Jiunn-Diann Lin Chun-Nin Lee Kun-Yuan Tsai Pin-Hao Wu An-Tsz Hsieh |
| author_facet | Anne Chang Chung-Ze Wu Jiunn-Diann Lin Chun-Nin Lee Kun-Yuan Tsai Pin-Hao Wu An-Tsz Hsieh |
| author_sort | Anne Chang |
| collection | DOAJ |
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Introduction: Diabetes mellitus (DM) is a known risk factor for tuberculosis (TB), leading to an approximate three-fold higher risk of developing active TB. However, epidemiological studies on the prevalence of latent TB infection (LTBI) in DM patients are lacking. In this study, we investigated the presence of LTBI and determined risk factors for LTBI in DM patients.
Methodology: We conducted a cross-sectional study at Taipei Medical University-Shuang Ho Hospital in northern Taiwan. The study population comprised DM patients (aged 20-70 years) attending a metabolism outpatient clinic between February 2011 and February 2013, excluding patients who were suspected or confirmed to have active TB. Venous blood samples were drawn from patients to detect LTBI using the QuantiFERON-TB Gold In-Tube (QFT-GIT) method.
Results: We enrolled 1120 patients with DM. The QFT-GIT showed positive results for 241 people (21.5%) and negative results for 879 people (78.5%). The mean age at QFT-GIT positivity was 58.2 years, which was significantly dissimilar to the mean age at QFT-GIT negativity, which was 55.0 years (p < 0.001). Multivariate logistic regression indicated that the trend of QFT-GIT positivity increased after the age of 50 years. Effective glycemic control did not differ significantly between QFT-GIT-positive and -negative patients. Moreover, men were predominant were predominant in both QFT-GIT-positive and -negative patients.
Conclusions: More than one-fifth of DM patients have LTBI. Among the DM patients, those older than 50 years may have a higher risk of LTBI. Moreover, effective glycemic control did not differ significantly in patients with LTBI.
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| format | Article |
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| issn | 1972-2680 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | The Journal of Infection in Developing Countries |
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| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-52898de12b20414eae3c2cd96c15a3f92025-08-20T02:14:11ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802022-04-01160410.3855/jidc.15839Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional studyAnne Chang0Chung-Ze Wu1Jiunn-Diann Lin2Chun-Nin Lee3Kun-Yuan Tsai4Pin-Hao Wu5An-Tsz Hsieh6Division of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan Introduction: Diabetes mellitus (DM) is a known risk factor for tuberculosis (TB), leading to an approximate three-fold higher risk of developing active TB. However, epidemiological studies on the prevalence of latent TB infection (LTBI) in DM patients are lacking. In this study, we investigated the presence of LTBI and determined risk factors for LTBI in DM patients. Methodology: We conducted a cross-sectional study at Taipei Medical University-Shuang Ho Hospital in northern Taiwan. The study population comprised DM patients (aged 20-70 years) attending a metabolism outpatient clinic between February 2011 and February 2013, excluding patients who were suspected or confirmed to have active TB. Venous blood samples were drawn from patients to detect LTBI using the QuantiFERON-TB Gold In-Tube (QFT-GIT) method. Results: We enrolled 1120 patients with DM. The QFT-GIT showed positive results for 241 people (21.5%) and negative results for 879 people (78.5%). The mean age at QFT-GIT positivity was 58.2 years, which was significantly dissimilar to the mean age at QFT-GIT negativity, which was 55.0 years (p < 0.001). Multivariate logistic regression indicated that the trend of QFT-GIT positivity increased after the age of 50 years. Effective glycemic control did not differ significantly between QFT-GIT-positive and -negative patients. Moreover, men were predominant were predominant in both QFT-GIT-positive and -negative patients. Conclusions: More than one-fifth of DM patients have LTBI. Among the DM patients, those older than 50 years may have a higher risk of LTBI. Moreover, effective glycemic control did not differ significantly in patients with LTBI. https://jidc.org/index.php/journal/article/view/15839Latent tuberculosis infectiondiabetesinterferon gamma release assays (IGRA)QuantiFERON-TB Gold In-Tube method (QFT-GIT) |
| spellingShingle | Anne Chang Chung-Ze Wu Jiunn-Diann Lin Chun-Nin Lee Kun-Yuan Tsai Pin-Hao Wu An-Tsz Hsieh Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study Journal of Infection in Developing Countries Latent tuberculosis infection diabetes interferon gamma release assays (IGRA) QuantiFERON-TB Gold In-Tube method (QFT-GIT) |
| title | Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study |
| title_full | Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study |
| title_fullStr | Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study |
| title_full_unstemmed | Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study |
| title_short | Prevalence and risk factors for latent tuberculosis among diabetes patients in Taiwan: A cross-sectional study |
| title_sort | prevalence and risk factors for latent tuberculosis among diabetes patients in taiwan a cross sectional study |
| topic | Latent tuberculosis infection diabetes interferon gamma release assays (IGRA) QuantiFERON-TB Gold In-Tube method (QFT-GIT) |
| url | https://jidc.org/index.php/journal/article/view/15839 |
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