Prevalence of latent tuberculosis in patients with hematological neoplasms in a cancer referral hospital in Mexico City

BMC Infect Dis. 2021 May 31;21(1):510. doi: 10.1186/s12879-021-06236-y.

Abstract

Objective: To determine the prevalence of Latent Tuberculosis in patients with hematological neoplasms at the Instituto Nacional de Cancerología in Mexico City using the Tuberculin skin test (TST).

Methods: This retrospective study included all patients with a recent diagnosis of hematological neoplasms who were admitted for treatment from 2017 to 2018 and who were screened for latent tuberculosis with the TST. The prevalence of latent tuberculosis in this group, tolerance and therapeutic adherence in treated patients are described.

Results: The files of 446 patients with hematological malignancy who had a TST were reviewed. The prevalence of latent tuberculosis was 31.2% (n = 139). Ninety-three patients received isoniazid, 15.1% had some adverse reactions, but only 4 (4.3%) had to discontinue treatment. Two patients with latent tuberculosis under treatment with Isoniazid reactivated tuberculosis infection.

Conclusions: The prevalence in our study was within the range of other similar Mexican populations. Isoniazid treatment had an adequate tolerance and adherence. Longer follow-up could offer more information on the risk of reactivation in both groups.

Keywords: Hematologic malignancies; Latent tuberculosis; Tuberculin skin test.

MeSH terms

  • Adult
  • Antitubercular Agents / adverse effects
  • Antitubercular Agents / therapeutic use
  • Cancer Care Facilities
  • Female
  • Hematologic Neoplasms / epidemiology*
  • Hematologic Neoplasms / microbiology
  • Humans
  • Isoniazid / adverse effects
  • Isoniazid / therapeutic use
  • Latent Tuberculosis / diagnosis
  • Latent Tuberculosis / drug therapy
  • Latent Tuberculosis / epidemiology*
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Mycobacterium tuberculosis / drug effects
  • Prevalence
  • Retrospective Studies
  • Tuberculin Test
  • Tuberculosis / epidemiology
  • Tuberculosis / etiology

Substances

  • Antitubercular Agents
  • Isoniazid