Table 3.
Guidelines | Population | Screening process | Treatment method | Treatment duration | Timing before immunosuppression | |||
History | TST | IGRA | CXR | |||||
ARA 20101 | Biological therapy | X | X | X | Isoniazid* | 6–9 months | 1–2 months | |
Aguado et al 20093 | Transplant recipients | X | X | X | Isoniazid | 9 months | Before transplant | |
CDC 20169 | Patients with HIV | X | X | Isoniazid | 9 months | NS | ||
WHO 201510 | Low-middle income countries | X | X | Isoniazid | 6 months | NS | ||
Beglinger et al 200715 | Biological therapy | X | X | X | Isoniazid OR rifampicin | NS | 1 month | |
Cantini et al 201516 | Biological therapy | X | X | X | Isoniazid | 9 months | 1 month | |
Doherty 200817 | Patients with psoriasis | X | X | X | Isoniazid | 9 months | 1–2 months or longer | |
Duarte et al 201218 | Biological therapy | X | X | X | Isoniazid | 9 months | 1–2 months | |
Fonseca et al 200819 | Biological therapy | X | X | X | Isoniazid | 6–9 months | 1 month | |
Hodkinson et al 201320 | Patients with rheumatoid arthritis | X | X | X | X | Isoniazid | 9 months | 1 month |
Kavanagh et al 200821 | Biological therapy | X | X | X | Isoniazid | 9 months | Pre-immunosuppression | |
Keith et al 201422 | Bullous dermatosis | X | X | NS | NS | NS | ||
Koike et al 200723 | Biological therapy | X | X | X | Isoniazid | NS | NS | |
Lichauco et al 200624 | Biological therapy | X | X | Isoniazid | 9 months | 1 month | ||
Salmon200225 | Biological therapy | X | X | Rifampicin and pyrazinamide | 2 months | 3 weeks | ||
Mir Viladrich et al 201626 | Biological therapy | X | X | X | Isoniazid | 9 months | 4 weeks | |
Mok et al 201127 | Biological therapy | X | Isoniazid | 9 months | 4 weeks | |||
Nordgaard-Lassen et al 2012 28 | Biological therapy | X | Isoniazid | 9 months | 4 weeks | |||
BTS 200529 | Biological therapy | X | X | X | Isoniazid | 6 months | Concurrent | |
Smith et al 200930 | Biological therapy | X | X | Isoniazid OR Isoniazid and rifampicin | 6 months OR 3 months | 2 months | ||
Solovic et al 201031 | Biological therapy | X | X | X | X | Isoniazid | 9 months | 4 weeks |
Carrasoca et al 201632 | Methotrexate therapy | X | X | X | Isoniazid | NS | NS | |
Bumbacea et al 201233 | Transplant recipients | X | X | NS | NS | Before transplant | ||
KDIGO 200934 | Renal transplant | X | X | Isoniazid | 9 months | NS | ||
Meije et al 201435 | Transplant recipients | X | X | Isoniazid | 9 months | NS | ||
EBPG 200236 | Renal transplant recipients | X | X | X | Isoniazid | 9 months | NS | |
Subramanian 201337 | Transplant recipients | X | X | X | X | Isoniazid | 9 months | Before or after transplant |
Tomblyn et al 200938 | SCT recipients | X | X | X | Isoniazid | 9 months | NS | |
Pozniak et al 201139 | Patients with HIV | X | X | Isoniazid | 6 months | NS | ||
SA 201040 | Patients with HIV | X | Isoniazid | 6 months | NS | |||
Santin et al 201741 | Patients with HIV | X | X | X | NS | NS | NS | |
Biological therapy | X | X | X | NS | NS | NS | ||
Transplant recipients | X | X | X | NS | NS | NS | ||
Al Jahdali et al 201042 | Susceptible populations | X | X | Isoniazid | 9 months | NS | ||
ECDC 201143 | Immunocompromised | X | X | NS | NS | NS | ||
Mazurek et al 201044 | Susceptible populations | X | X | X | X | NS | NS | NS |
Taylor et al (CDC 2005)45 | Susceptible populations | X | X | X | Isoniazid | NS | NS | |
CTC 200846 | Immunocompromised | X | X | NS | NS | NS | ||
Japanese Society for Tuberculosis 201447 | Susceptible populations | X | X | X | Isoniazid | 6–9 months | 3 weeks before immunosuppression NS for transplant |
|
NICE 201648 | Susceptible populations | X | X | X | Isoniazid OR Isoniazid and rifampicin | 6 months OR 3 months | NS |
*Where isoniazid is used, it is always provided concurrently with pyridoxine prophylaxis.
ARA, Australian Rheumatological Association; BTS, British Thoracic Society; CDC, centre for disease control; CTC, Canadian Tuberculosis Committee; CXR, chest X-ray; EBPG, European Best Practice Guideline Expert Group on Renal Transplantation; ECDC, European Centre for Disease Prevention and Control; IGRA, interferon gamma release assay; KDIGO, Kidney Disease Improving Global Outcomes; NICE, National Institute for Health and Care Excellence; NS, not specified; SA, South Africa; SCT, Stem cell transplant, TST, tuberculin skin test.