Impact of Latent Tuberculosis on Diabetes

Author:

Tepekule Burcu12ORCID,Kusejko Katharina12,Zeeb Marius12,Tarr Philip E3,Calmy Alexandra4,Battegay Manuel5,Furrer Hansjakob6,Cavassini Matthias7ORCID,Bernasconi Enos8,Notter Julia9,Günthard Huldrych F1,Nemeth Johannes1,Kouyos Roger D12,Abela I,Aebi-Popp K,Anagnostopoulos A,Battegay M,Bernasconi E,Braun D L,Bucher H C,Calmy A,Cavassini M,Ciuffi A,Dollenmaier G,Egger M,Elzi L,Fehr J,Fellay J,Furrer H,Fux C A,Günthard H F,Hachfeld A,Haerry D,Hasse B,Hirsch H H,Hoffmann M,Hösli I,Huber M,Kahlert C R,Kaiser L,Keiser O,Klimkait T,Kouyos R D,Kovari H,Kusejko K,Martinetti G,Martinez de Tejada B,Marzolini C,Metzner K J,Müller N,Nemeth J,Nicca D,Paioni P,Pantaleo G,Perreau M,Rauch A,Schmid P,Speck R,Stöckle M,Tarr P,Trkola A,Wandeler G,Yerly S,

Affiliation:

1. Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich , Zurich , Switzerland

2. Institute of Medical Virology, University of Zurich , Zurich , Switzerland

3. Department of Medicine and Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital Baselland, University of Basel , Bruderholz , Switzerland

4. Division of Infectious Diseases, University Hospital Geneva, University of Geneva , Geneva , Switzerland

5. Division of Infectious Diseases and Hospital Hygiene, University Hospital Basel, University of Basel , Basel , Switzerland

6. Department of Infectious Diseases, Bern University Hospital, University of Bern , Bern , Switzerland

7. Division of Infectious Diseases, University Hospital , Lausanne , Switzerland

8. Division of Infectious Diseases, Regional Hospital Lugano , Lugano , Switzerland

9. Cantonal Hospital St Gallen, Division of Infectious Diseases and Hospital Epidemiology , St Gallen , Switzerland

Abstract

Abstract While an increased risk of active and latent tuberculosis infection (LTBI) in people with type-2 diabetes (DM) has been demonstrated, it is less well characterized whether LTBI is associated with an increased risk of developing DM. We investigated the link between LTBI and DM in people living with HIV in the Swiss HIV Cohort Study via time-dependent Cox proportional hazards models. We found that LTBI significantly increased the risk of developing DM (HR = 1.47), which was robust across different adjustment and censoring techniques. Our results thus suggest that LTBI may be associated with an increased risk of developing DM.

Funder

Swiss National Science Foundation

Swiss HIV Cohort Study

Swiss HIV Research Foundation

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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