Prevalence of latent tuberculosis and associated factors in patients with chronic kidney disease on hemodialysis

Authors

  • Viviane Ferreira Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil. Universidade de Araraquara, Araraquara, SP, Brasil. Centro Universitário Estácio Ribeirão Preto, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0003-4733-2507
  • Cassiane Dezoti da Fonseca Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil. http://orcid.org/0000-0002-2118-8562
  • Valdes Roberto Bollela Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Divisão de Moléstias Infecciosas e Tropicais, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-8221-4701
  • Elen Almeida Romão Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Divisão de Nefrologia, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-9302-3089
  • Jose Abrão Cardeal da Costa Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Clínica Médica, Divisão de Nefrologia, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-7400-5598
  • Alvaro Francisco Lopes de Sousa Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil. Universidade Nova de Lisboa, Instituto de Higiene e Medicina Tropical, Lisboa, Portugal. http://orcid.org/0000-0003-2710-2122
  • Dulce Aparecida Barbosa Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil. http://orcid.org/0000-0002-9912-4446

DOI:

https://doi.org/10.1590/1518-8345.3839.3442

Keywords:

Chronic Kidney Diseases; Diabetes Mellitus; Hemodialysis; Tuberculin Test; Renal Replacement Therapy; Latent Tuberculosis

Abstract

Objective:

to identify the prevalence of latent tuberculosis in patients with chronic kidney disease on hemodialysis and associated factors.

Method:

a cross-sectional study conducted with 176 patients with chronic kidney disease on hemodialysis. The tuberculin test was performed with the standardized antigen, distributed by the Brazilian Ministry of Health, and the reading occurred after 72 to 96 hours of the application. An association test (Chi-square, Fisher’s exact), prevalence ratio, and multivariate regression tests were performed.

Results:

the prevalence of latent tuberculosis diagnosed through Tuberculosis Skin Test was 8.5% (15/176). The “has/has had diabetes” (aOR: 0.117; 95%CI: 0.015-0.92) and “having regular garbage collection (aOR: 0.076; 95%CI: 0.008-0.702) factors were associated with a lower probability of having a Positive skin test.

Conclusion:

the low prevalence of latent tuberculosis identified and the factors associated with it reinforce the need for screening for latent tuberculosis infection for diabetics combined with an analysis of previous risk factors and comorbidities.

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Published

2021-07-19

Issue

Vol. 29 (2021)

Section

Original Articles

License

Copyright (c) 2021 RLAE RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Prevalence of latent tuberculosis and associated factors in patients with chronic kidney disease on hemodialysis. (2021). Revista Latino-Americana De Enfermagem, 29, e3442. https://doi.org/10.1590/1518-8345.3839.3442