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. 2018 Sep 12;8(9):e022445. doi: 10.1136/bmjopen-2018-022445

Table 3.

Summary of recommendations

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.