Revision as of 01:31, 16 August 2019

ID screening for prolonged immunosuppressive therapy

Tuberculosis
- Screen if pred 15mg daily for 1+ month
- TB skin test (false positive if BCG and needs a 48h repeat)
  - Still useful to test up after up to two weeks of ≤20mg daily prednisone
- IGRA (expensive)
Hepatitis B
- Screen if >7.5mg prednisone daily
- Treat if HbSag positive or if HbCAb and HBV-DNA positive
- Prophylaxis with lemivudine for 6 months after the immune suppression is done
Strongyloides
- Screen with serology if has ever travelled to an endemic country

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