Cumulative Mycobacterium tuberculosis Infection Incidence (Measured Primarily by Tuberculin Skin Test) Among Infants With Human Immunodeficiency Virus Exposure: Observational Follow-up of an Isoniazid Prophylaxis Trial

Author:

LaCourse Sylvia M12ORCID,Escudero Jaclyn N2,Mecha Jerphason3,Warr A J4,Richardson Barbra A25,Carimo Naziat2,Cranmer Lisa M67,Maleche-Obimbo Elizabeth28,Matemo Daniel3,Kinuthia John239,Hawn Thomas R1,John-Stewart Grace121011

Affiliation:

1. Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington , Seattle, Washington , USA

2. Department of Global Health, University of Washington , Seattle, Washington , USA

3. Medical Research Department, Kenyatta National Hospital , Nairobi , Kenya

4. Department of Pediatrics and Department of Medicine, Baylor College of Medicine , Houston, Texas , USA

5. Department of Biostatistics, University of Washington , Seattle, Washington , USA

6. Division of Infectious Diseases, Department of Pediatrics, Emory University , Atlanta, Georgia , USA

7. Children’s Healthcare of Atlanta , Atlanta, Georgia , USA

8. Department of Pediatrics and Child Health, University of Nairobi , Nairobi , Kenya

9. Department of Reproductive Health, Kenyatta National Hospital , Nairobi , Kenya

10. Department of Epidemiology, University of Washington , Seattle, Washington , USA

11. Department of Pediatrics, University of Washington , Seattle, Washington , USA

Abstract

Abstract   Cumulative 24-month Mycobacterium tuberculosis infection incidence (measured primarily by tuberculin skin test [TST]) was high among human immunodeficiency virus exposed but uninfected infants (8.7 [95% confidence interval, 6.3–11.9] per 100 person-years). Trend for decreased TST positivity among infants at trial end (12 months postenrollment) randomized to isoniazid at 6 weeks of age was not sustained through observational follow-up to 24 months of age. Clinical Trials Registration NCT02613169.

Funder

Thrasher Research Fund

National Institute of Allergy and Infectious Diseases

National Institutes of Health

National Center for Advancing Translational Sciences

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference12 articles.

1. Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study;Dodd;Lancet Glob Health,2014

2. The risk of tuberculosis in children after close exposure: a systematic review and individual-participant meta-analysis;Martinez;Lancet,2020

3. High prevalence of tuberculosis infection in HIV-1 exposed Kenyan infants;Cranmer;Pediatr Infect Dis J,2014

4. Tuberculosis exposure in HIV-exposed infants in a high-prevalence setting;Cotton;Int J Tuberc Lung Dis,2008

5. Tuberculosis infection in early childhood and the association with HIV-exposure in HIV-uninfected children in rural Uganda;Marquez;Pediatr Infect Dis J,2016

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