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Tuberculin and Anergy Skin Testing of Patients Receiving Long-term Hemodialysis

Meg Smirnoff; Cary Patt; Benjamin Seckler; Jack J. Adler
Author and Funding Information

Affiliations: From the Department of Nursing, The Mount Sinai Medical Center, New York,  From the Department of Medicine, Boston Medical Center,  From the Department of Radiology, Massachusetts, General Hospital, Boston,  From the Department of Medicine, The Mount Sinai Medical Center, New York

Affiliations: From the Department of Nursing, The Mount Sinai Medical Center, New York,  From the Department of Medicine, Boston Medical Center,  From the Department of Radiology, Massachusetts, General Hospital, Boston,  From the Department of Medicine, The Mount Sinai Medical Center, New York

Affiliations: From the Department of Nursing, The Mount Sinai Medical Center, New York,  From the Department of Medicine, Boston Medical Center,  From the Department of Radiology, Massachusetts, General Hospital, Boston,  From the Department of Medicine, The Mount Sinai Medical Center, New York

Affiliations: From the Department of Nursing, The Mount Sinai Medical Center, New York,  From the Department of Medicine, Boston Medical Center,  From the Department of Radiology, Massachusetts, General Hospital, Boston,  From the Department of Medicine, The Mount Sinai Medical Center, New York


1998 by the American College of Chest Physicians


Chest. 1998;113(1):25-27. doi:10.1378/chest.113.1.25
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Published online

Abstract

Study objectives: Immunocompromised patients with chronic renal failure requiring hemodialysis (HD) are at increased risk of developing tuberculosis (TB). Routine TB screening of this population is recommended. This study examined the frequency of TB reactions and anergy in HD patients in a community with a high prevalence of TB.

Design: Outpatients in a hospital-based HD center were screened with tuberculin, Candida, and mumps antigen.

Results: Forty percent of patients were anergic and 19% were tuberculin reactors. No demographic factors correlated with either test results.

Conclusions: There was a high rate of TB infection and anergy in this HD center. Despite the high rate of anergy, tuberculin testing remains a useful test in this population. Anergic patients require further clinical evaluation for TB. Other HD programs should tuberculin and anergy test their patients to determine prevalence in their populations.


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