MedPath

Detection of Latent Tuberculosis in Hemodialysis Patients

Completed
Conditions
Chronic Renal Failure
Registration Number
NCT00695734
Lead Sponsor
University Hospital, Geneva
Brief Summary

This study aims to compare the performance of the tuberculin skin test, used for more than 50 years as a diagnostic tool for latent tuberculosis infection, with 2 blood tests which have recently become commercially available (Interferon-gamma release assays) in a population of immunosuppressed individuals with chronic renal failure undergoing long term hemodialysis

Detailed Description

This prospective study includes all adults aged over 18 years of age who accept to be included in the study and provided written informed consent. All patients are under long term hemodialysis for chronic renal failure. They are subjected to a questionnaire including history of contacts with tuberculosis (TB), prior treatment for TB, history of prior tuberculin skin testing, history of BCG vaccination, country of origin, trips or prolonged stays in high incidence areas, smoking history, and medications. All patients will have a chest X-ray, and simultaneous testing with the tuberculin skin test according to the Mantoux technique, and with the T-SPOT. TB and QuantiFERON Gold in tube Interferon-gamma release assays. The study analysis agreement between tests, detection of prior TB and presumptive latent tuberculosis infection, based on these items.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
62
Inclusion Criteria
  • Adults aged over 18
  • Under hemodialysis for > 3 months
  • End stage renal failure
Exclusion Criteria
  • Refusal to participate
  • Prior tuberculin skin test > 15 mm or any adverse reaction to tuberculin skin test

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Relative performance of tuberculin skin test and interferon gamma release assays for detecting latent tuberculosis infectioncross-sectionnal
Secondary Outcome Measures
NameTimeMethod
Agreement between tuberculin skin test and interferon gamma release assays as well as agreement between interferon gamma release assayscross-sectionnal

Trial Locations

Locations (1)

Geneva University Hospital

🇨🇭

Geneva, Geneva 14, Switzerland

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