Evidence map›Paper›PMID 41079942›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2025

Tuberculosis reactivation in hematopoietic stem cell transplant recipients: a preemptive strategy in an endemic country.

Irma Karen Pellón-Téllez, Omar Eduardo Fernandez-Vargas, Patricia Cornejo-Juárez, Alexandra Martin-Onraet, Luis Felipe Rubalcava-Lara, Rosa Adriana Alvidrez-González, Andrés Bonilla-Salcedo, Luis Valero-Saldaña, Brenda Lizeth Acosta-Maldonado

Abstract read
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial diseases, 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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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Irma Karen Pellón-TéllezDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Omar Eduardo Fernandez-VargasDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Patricia Cornejo-JuárezDepartment of Infectious Diseases, Instituto Nacional de Cancerología, Mexico, Mexico.
Alexandra Martin-OnraetDepartment of Infectious Diseases, Instituto Nacional de Cancerología, Mexico, Mexico.
Luis Felipe Rubalcava-LaraDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Rosa Adriana Alvidrez-GonzálezDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Andrés Bonilla-SalcedoDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Luis Valero-SaldañaDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.
Brenda Lizeth Acosta-MaldonadoDepartment of Hematology, Instituto Nacional de Cancerología, Mexico, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tuberculosis (TB) remains a global public health issue, particularly in developing countries. Hematopoietic stem cell transplant (HSCT) recipients are at increased risk for TB due to immunosuppression. Methods: This retrospective study (2005-2022) assessed a preemptive latent tuberculosis infection (LTBI) screening and treatment strategy in 338 HSCT recipients and their donors. Screening included tuberculin skin test (TST) or QuantiFERON-TB Gold (QFT), and pulmonary imaging, with positive cases receiving isoniazid (INH) therapy before HSCT. Statistical analyses compared TB reactivation rates, overall survival (OS), and relapse-free survival (RFS) across HSCT groups. Results: Of 338 patients, screening involved TST in 325 and QFT in 13 cases, resulting in 94 (27.8%) patients with LTBI. INH therapy was completed by 83 patients, with 5 discontinuing due to hepatotoxicity. The cumulative incidence of active TB was 0.6%, and one patient who received INH prophylaxis developed LTBI reactivation. LTBI status did not affect OS or RFS. Conclusions: Our study demonstrates that the use of LTBI protocols incorporating TST/QFT and chest CT-scans, followed by INH in positive cases, was safe and is an accessible option among HSCT recipients in high-burden regions.

Indexed as

Hematopoietic stem cell transplantLatent TuberculosisTuberculosis prophylaxisTuberculosis reactivation

Identifiers

PMID41079942
PMCPMC12510179

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.