Sample calculations based on tables 1A and B, and 2 (adapted from reference 10)
Case | Annual risk of active TB/100 000 | Effect of CKD ×20 | Effect of renal transplant ×37 | Risks of prophylaxis /100 000 (table 2) | Risk/benefit type calculation |
White | |||||
UK born | |||||
Age 35–54 | 4 | 80 | 148 | 278 | Observation |
Age 55–74 | 7 | 140 | 259 | 278 | Observation |
Indian subcontinent | 593 | 11860 | 17790 | 278 | Prophylaxis |
Age >35 | |||||
In UK 3 years | |||||
Black-African | 168 | 3360 | 6216 | 278 | Prophylaxis |
Age 35–54 | |||||
Other ethnic group | 39 | 780 | 1443 | 278 | Prophylaxis |
Age ≥35 | |||||
In UK >5 years |
The weighted average risk for prophylaxis with 6H is 278/100 000 which is used for these calculations. That for 3RH is higher at 1766/100 000 but may need to be considered if a shorter duration of chemoprophylaxis is needed on clinical grounds.
CKD, chronic kidney disease.