Prednisone screening checklist - Revision history

Aidan: Text replacement - "Category:Immunocompromised patients" to "Category:Immunocompromised hosts"

2020-02-28T02:36:11Z

Text replacement - "Category:Immunocompromised patients" to "Category:Immunocompromised hosts"

← Older revision		Revision as of 02:36, 28 February 2020
Line 63:		Line 63:
	* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.		* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.

	[[Category:Immunocompromised ~~patients~~]]		[[Category:Immunocompromised hosts]]

Aidan at 15:25, 17 August 2019

2019-08-17T15:25:05Z

Aidan at 03:56, 15 August 2019

2019-08-15T03:56:18Z

← Older revision		Revision as of 03:56, 15 August 2019
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		⚫	= Latent tuberculosis infection (LTBI) =
	= Checklist =

		⚫	== Indications for Screening ==
⚫	== Latent tuberculosis infection (LTBI) ==

⚫	=== Indications for Screening ===

	* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI		* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI
	* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.		* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.

	=== Screening Tests ===		== Screening Tests ==

	* Tuberculin skin test (TST), OR		* Tuberculin skin test (TST), OR
	* Interferon gamma release assay (IGRA)		* Interferon gamma release assay (IGRA)

	=== Treatment ===		== Treatment ==

	* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months		* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months

	== Hepatitis B virus (HBV) ==		= Hepatitis B virus (HBV) =

	=== Indications for Screening ===		== Indications for Screening ==

	* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR		* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR
	* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration		* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration

	=== Screening Tests ===		== Screening Tests ==

	* Serologic testing for HBsAg ± anti-HBcAb		* Serologic testing for HBsAg ± anti-HBcAb

	=== Treatment ===		== Treatment ==

	* Negative/negative: HBV vaccination		* Negative/negative: HBV vaccination
Line 34:		Line 32:
	* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment		* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment

	== Strongyloidiasis ==		= Strongyloidiasis =

	=== Indications for Screening ===		== Indications for Screening ==

	* Any immunosuppression, AND		* Any immunosuppression, AND
	* Lived in or traveled to endemic region at any time		* Lived in or traveled to endemic region at any time

	=== Screening Tests ===		== Screening Tests ==

	* Serology, AND/OR		* Serology, AND/OR
	* Stool examination on three occasions for larvae		* Stool examination on three occasions for larvae

	=== Treatment ===		== Treatment ==

	* Ivermectin 200 mcg/kg daily for two days		* Ivermectin 200 mcg/kg daily for two days

	== ''Pneumocystis jirovecii'' pneumonia ==		= ''Pneumocystis jirovecii'' pneumonia =

	=== Indications for Prophylaxis ===		== Indications for Prophylaxis ==

	* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks		* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks

	=== Prophylaxis ===		== Prophylaxis ==

	* TMP-SMX 1 SS or DS tablet daily, OR		* TMP-SMX 1 SS or DS tablet daily, OR

Aidan at 03:55, 15 August 2019

2019-08-15T03:55:54Z

← Older revision		Revision as of 03:55, 15 August 2019
Line 3:		Line 3:
	== Latent tuberculosis infection (LTBI) ==		== Latent tuberculosis infection (LTBI) ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI		* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI
	* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.		* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.

	== Screening Tests ==		=== Screening Tests ===

	* Tuberculin skin test (TST), OR		* Tuberculin skin test (TST), OR
	* Interferon gamma release assay (IGRA)		* Interferon gamma release assay (IGRA)

	== Treatment ==		=== Treatment ===

	* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months		* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months
Line 19:		Line 19:
	== Hepatitis B virus (HBV) ==		== Hepatitis B virus (HBV) ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR		* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR
	* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration		* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration

	== Screening Tests ==		=== Screening Tests ===

	* Serologic testing for HBsAg ± anti-HBcAb		* Serologic testing for HBsAg ± anti-HBcAb

	== Treatment ==		=== Treatment ===

	* Negative/negative: HBV vaccination		* Negative/negative: HBV vaccination
Line 36:		Line 36:
	== Strongyloidiasis ==		== Strongyloidiasis ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Any immunosuppression, AND		* Any immunosuppression, AND
	* Lived in or traveled to endemic region at any time		* Lived in or traveled to endemic region at any time

	== Screening Tests ==		=== Screening Tests ===

	* Serology, AND/OR		* Serology, AND/OR
	* Stool examination on three occasions for larvae		* Stool examination on three occasions for larvae

	== Treatment ==		=== Treatment ===

	* Ivermectin 200 mcg/kg daily for two days		* Ivermectin 200 mcg/kg daily for two days
Line 52:		Line 52:
	== ''Pneumocystis jirovecii'' pneumonia ==		== ''Pneumocystis jirovecii'' pneumonia ==

	== Indications for Prophylaxis ==		=== Indications for Prophylaxis ===

	* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks		* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks

	== Prophylaxis ==		=== Prophylaxis ===

	* TMP-SMX 1 SS or DS tablet daily, OR		* TMP-SMX 1 SS or DS tablet daily, OR

Aidan at 03:54, 15 August 2019

2019-08-15T03:54:50Z

← Older revision		Revision as of 03:54, 15 August 2019
Line 1:		Line 1:
		⚫	= Checklist =
	= Prednisone screening checklist =

		⚫	== Latent tuberculosis infection (LTBI) ==
⚫	== Checklist ==

		⚫	== Indications for Screening ==
⚫	=== Latent tuberculosis infection (LTBI) ===

⚫	==== Indications for Screening ====

	* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI		* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI
	* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.		* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.

	==== Screening Tests ====		== Screening Tests ==

	* Tuberculin skin test (TST), OR		* Tuberculin skin test (TST), OR
	* Interferon gamma release assay (IGRA)		* Interferon gamma release assay (IGRA)

	==== Treatment ====		== Treatment ==

	* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months		* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months

	=== Hepatitis B virus (HBV) ===		== Hepatitis B virus (HBV) ==

	==== Indications for Screening ====		== Indications for Screening ==

	* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR		* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR
	* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration		* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration

	==== Screening Tests ====		== Screening Tests ==

	* Serologic testing for HBsAg ± anti-HBcAb		* Serologic testing for HBsAg ± anti-HBcAb

	==== Treatment ====		== Treatment ==

	* Negative/negative: HBV vaccination		* Negative/negative: HBV vaccination
Line 36:		Line 34:
	* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment		* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment

	=== Strongyloidiasis ===		== Strongyloidiasis ==

	==== Indications for Screening ====		== Indications for Screening ==

	* Any immunosuppression, AND		* Any immunosuppression, AND
	* Lived in or traveled to endemic region at any time		* Lived in or traveled to endemic region at any time

	==== Screening Tests ====		== Screening Tests ==

	* Serology, AND/OR		* Serology, AND/OR
	* Stool examination on three occasions for larvae		* Stool examination on three occasions for larvae

	==== Treatment ====		== Treatment ==

	* Ivermectin 200 mcg/kg daily for two days		* Ivermectin 200 mcg/kg daily for two days

	=== ''Pneumocystis jirovecii'' pneumonia ===		== ''Pneumocystis jirovecii'' pneumonia ==

	==== Indications for Prophylaxis ====		== Indications for Prophylaxis ==

	* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks		* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks

	==== Prophylaxis ====		== Prophylaxis ==

	* TMP-SMX 1 SS or DS tablet daily, OR		* TMP-SMX 1 SS or DS tablet daily, OR
	* TMP-SMX 1 DS tablet 3 times per week		* TMP-SMX 1 DS tablet 3 times per week

	== Further Reading ==		= Further Reading =

	* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.		* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.

			[[Category:Immunocompromised patients]]

Aidan: Aidan moved page Special Immune Prednisone screening checklist to Prednisone screening checklist without leaving a redirect

2019-08-15T03:54:29Z

Aidan moved page Special Immune Prednisone screening checklist to Prednisone screening checklist without leaving a redirect

← Older revision		Revision as of 03:54, 15 August 2019
(No difference)

Maintenance script: Imported from text file

2019-08-11T18:05:59Z

Imported from text file

New page

= Prednisone screening checklist =

== Checklist ==

=== Latent tuberculosis infection (LTBI) ===

==== Indications for Screening ====

* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI
* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.

==== Screening Tests ====

* Tuberculin skin test (TST), OR
* Interferon gamma release assay (IGRA)

==== Treatment ====

* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months

=== Hepatitis B virus (HBV) ===

==== Indications for Screening ====

* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR
* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration

==== Screening Tests ====

* Serologic testing for HBsAg ± anti-HBcAb

==== Treatment ====

* Negative/negative: HBV vaccination
* HBsAg-positive: refer to specialist for assessment and treatment
* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment

=== Strongyloidiasis ===

==== Indications for Screening ====

* Any immunosuppression, AND
* Lived in or traveled to endemic region at any time

==== Screening Tests ====

* Serology, AND/OR
* Stool examination on three occasions for larvae

==== Treatment ====

* Ivermectin 200 mcg/kg daily for two days

=== ''Pneumocystis jirovecii'' pneumonia ===

==== Indications for Prophylaxis ====

* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks

==== Prophylaxis ====

* TMP-SMX 1 SS or DS tablet daily, OR
* TMP-SMX 1 DS tablet 3 times per week

== Further Reading ==

* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.

← Older revision		Revision as of 15:25, 17 August 2019
Line 1:		Line 1:
	= Latent tuberculosis infection (LTBI) =		== Latent tuberculosis infection (LTBI) ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI		* Prednisone equivalent ≥15 mg/day for >1 month AND ≥1 risk factor for LTBI
	* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.		* Risk factors for LTBI include: Close contacts of a person with active TB within the last 2 years; persons who have immigrated from countries with a high prevalence of TB; persons who work or reside in institutions with a high prevalence of TB such as homeless shelters, correctional facilities, and hospitals; and groups with high rates of TB transmission, such as homeless persons and injection drug users.

	== Screening Tests ==		=== Screening Tests ===

	* Tuberculin skin test (TST), OR		* Tuberculin skin test (TST), OR
	* Interferon gamma release assay (IGRA)		* Interferon gamma release assay (IGRA)

	== Treatment ==		=== Treatment ===

	* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months		* Isoniazid 5 mg/kg/day (max 300 mg/day) with pyridoxine 25-50 mg/day for 9 months

	= Hepatitis B virus (HBV) =		== Hepatitis B virus (HBV) ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR		* Prednisone quivalent ≥ 7.5 mg/day, with no minimum duration, OR
	* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration		* Prednisone equivalent < 7.5 mg/day in combination with another immunosuppressive medication, with no minimum duration

	== Screening Tests ==		=== Screening Tests ===

	* Serologic testing for HBsAg ± anti-HBcAb		* Serologic testing for HBsAg ± anti-HBcAb

	== Treatment ==		=== Treatment ===

	* Negative/negative: HBV vaccination		* Negative/negative: HBV vaccination
Line 32:		Line 32:
	* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment		* HBsAg-negative/anti-HBcAb-positive: refer to specialist for assessment and treatment

	= Strongyloidiasis =		== Strongyloidiasis ==

	== Indications for Screening ==		=== Indications for Screening ===

	* Any immunosuppression, AND		* Any immunosuppression, AND
	* Lived in or traveled to endemic region at any time		* Lived in or traveled to endemic region at any time

	== Screening Tests ==		=== Screening Tests ===

	* Serology, AND/OR		* Serology, AND/OR
	* Stool examination on three occasions for larvae		* Stool examination on three occasions for larvae

	== Treatment ==		=== Treatment ===

	* Ivermectin 200 mcg/kg daily for two days		* Ivermectin 200 mcg/kg daily for two days

	= ''Pneumocystis jirovecii'' pneumonia =		== ''Pneumocystis jirovecii'' pneumonia ==

	== Indications for Prophylaxis ==		=== Indications for Prophylaxis ===

	* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks		* Prednisone equivalent ≥20 mg/day for ≥4-8 weeks

	== Prophylaxis ==		=== Prophylaxis ===

	* TMP-SMX 1 SS or DS tablet daily, OR		* TMP-SMX 1 SS or DS tablet daily, OR
	* TMP-SMX 1 DS tablet 3 times per week		* TMP-SMX 1 DS tablet 3 times per week

	= Further Reading =		== Further Reading ==

	* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.		* Shafran DM, Bunce PE, and Gold WL. [https://doi.org/10.1503/cmaj.131430 Reducing the risk of infection in a 74-year-old man who is to receive prednisone]. ''CMAJ''. 2014.