Screening before prolonged immunosuppressive therapy
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Revision as of 18:05, 11 August 2019 by Maintenance script (talk | contribs) (Imported from text file)
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
