Evidence map›Paper›PMID 40864138›Full record

ArticleTropical medicine and infectious disease2025

Screening for Latent Tuberculosis Across Chronic Kidney Disease Stages Using Interferon-Gamma Release Assay: Findings from a National Infectious Disease Institute in Thailand.

Wannarat Pongpirul, Krit Pongpirul, Vongsatorn Tiabrat, Karnsuwee Muennoo, Wisit Prasithsirikul

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Article in Tropical medicine and infectious disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wannarat PongpirulBamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand.ORCID 0000-0002-9981-1190
Krit PongpirulCenter of Excellence in Preventive and Integrative Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.ORCID 0000-0003-3818-9761
Vongsatorn TiabratBamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand.
Karnsuwee MuennooBamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand.
Wisit PrasithsirikulBamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health, Nonthaburi 11000, Thailand.ORCID 0000-0002-2992-4050

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLatent tuberculosis infection (LTBI) is a major global health concern, particularly among individuals with chronic kidney disease (CKD), who are at increased risk of reactivation due to impaired immunity and frequent exposure to immunosuppressive therapies. Despite growing reliance on interferon-gamma release assays (IGRAs) such as QuantiFERON-TB Gold In-Tube (QFT-GIT) in BCG-vaccinated populations, data on IGRA performance across CKD stages remain limited in resource-limited settings.

objectiveTo determine the prevalence of LTBI and indeterminate IGRA results across CKD stages in a Thai population and assess the clinical utility of IGRA in this context. MATERIALS AND

methodsWe conducted a cross-sectional study among 785 Thai adults receiving care at a national infectious disease institute, including diabetes clinic patients, hospital staff, and individuals on hemodialysis. Each participant underwent QFT-GIT testing, and the CKD stage was classified using the estimated glomerular filtration rate (eGFR) closest prior to testing.

resultsOverall IGRA positivity was 22.2%, peaking in CKD stage G3 (31.6%) and declining in stage G5 (11.0%), where indeterminate results were also highest (6.8%). LIMITATIONS: Single-center design and lack of confirmatory testing may limit generalizability.

conclusionsIGRA performance is reliable in early-to-moderate CKD but less so in advanced stages. LTBI is prevalent in CKD stages G2-G4, supporting stage-specific approaches to LTBI screening and caution against overreliance on IGRA in advanced renal impairment.

Indexed as

chronic kidney diseaseCKD stageseGFRindeterminate resultinterferon-gamma release assaylatent tuberculosis infectionQuantiFERON-TB GoldThailand

Identifiers

PMID40864138
PMCPMC12390336

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