Significant risk and associated factors of active tuberculosis infection in Korean patients with inflammatory bowel disease using anti-TNF agents

AIM:To evaluate the incidence and risk factors of Korean tuberculosis(TB) infection in patients with inflammatory bowel disease(IBD) undergoing anti-TNF treatment.METHODS:The data of IBD patients treated with anti-TNFs in 13 tertiary referral hospitals located in the southeastern region of Korea were collected retrospectively.They failed to show response or were intolerant to conventional treatments,including steroids or immunomodulators.Screening measures for latent TB infection(LTBI)and the incidence and risk factors ofactive TB infection after treatment with anti-TNFs were identified.RESULTS:Overall,376 IBD patients treated with antiTNF agents were recruited(male 255,mean age of anti-TNF therapy 32.5±13.0 years);277 had Crohn’s disease,99 had ulcerative colitis,294 used infliximab,and 82 used adalimumab.Before anti-TNF treatment,screening tests for LTBI including an interferon gamma release assay or a tuberculin skin test were performed in 82.2%of patients.Thirty patients(8%)had LTBI.Sixteen cases of active TB infection including one TB-related mortality occurred during 801 personyears(PY)follow-up(1997.4 cases per 100000 PY)after anti-TNF treatment.LTBI(OR=5.76,95%CI:1.57-21.20,P=0.008)and WBC count<5000 mm3(OR=4.5,95%CI:1.51-13.44,P=0.007)during follow-up were identified as independently associated risk factors.CONCLUSION:Anti-TNFs significantly increase the risk of TB infection in Korean patients with IBD.The considerable burden of TB and marked immunosuppression might be attributed to this risk.

Detection of chemicals in water using a three-dimensional graphene porous structure as liquid-vapor separation filter

In this study, we report the utilization of a three-dimensional （3D） porous graphene structure as liquid-vapor separation filter, which allows the passage of chemical vapors while blocking liquid chemicals and water. The blockage of liquid chemicals and water from semiconducting sensing regions is required to avoid abnormal transistor characteristics. In order to impart omniphobic characteristics, a （heptadecafluoro-1,1,2,2-tetrahydrodecyl）trichlorosilane （HDF-S） self-assembled monolayer was coated on the surface of the 3D porous graphene structure. The concentration of chemical agents in water could be consistently detected by observing the shift in the threshold voltage in the oxide nanowire transistor covered by the HDF-S self-assembled 3D graphene structure. The proposed monitoring method is expected to offer means for application in different environments by providing a stable sensing performance.