Screening before prolonged immunosuppressive therapy: Difference between revisions
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m (Aidan moved page Special Immune Infectious disease screening for prolonged immunosuppressive therapy to Screening before prolonged immunosuppressive therapy without leaving a redirect) |
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= ID screening for prolonged immunosuppressive therapy = |
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* Tuberculosis |
* Tuberculosis |
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** Screen if pred 15mg daily for 1+ month |
** Screen if pred 15mg daily for 1+ month |
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* Strongyloides |
* Strongyloides |
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** Screen with serology if has ever travelled to an endemic country |
** Screen with serology if has ever travelled to an endemic country |
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[[Category:Immunocompromised patients]] |
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Revision as of 01:31, 16 August 2019
- 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
