[c09aa8]: / templates / fillins / 502.txtFILLINS.csv

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# Blank 1 Frequency Blank 2 Frequency Blank 3 Frequency
1 1 has a known history of 160 152 212
2 43 63 tb bacillus 148 tb bacillus tubercmcLosis 20
3 6 known history of 33 bacillus 8 . 18
4 87 patients with 12 or latent 5 tb 16
5 3 known 8 infection including 2 tb are excluded 9
6 37 history of 7 tb baccillus 1 tb bacillus tubercmcLosis . 3
7 4 patient has a known history of 3 tb mycobacterium 1 tb . 3
8 73 has known history of 3 infection or known history of 1 infection 3
9 44 patient must not have 2 hepatitis b or c or 1 are not eligible 3
10 51 patients with clinically 2 hepatitis b or c virus infection or active 1 bacillus tubercmcLosis . 2
11 34 patients with any known 1 hepatitis b or c and / or 1 history of exposure or history of positive tb test with presence of clinical symptoms physical or radiographic finding 2
12 60 history of primary immunodeficiency or history of 1 NA patients with a distant history of tubercmcLosis that was appropriately treated and have no evidence of active infection are eligible to participate patients with a history of latent tubercmcLosis that was appropriately treated are also eligible to participate 1
13 65 general 1 NA bacillus tubercmcLosis infection 1
14 85 participants with suspected 1 NA tb mycobacterium tubercmcLosis 1
15 101 participants with known 1 NA bacillus tubercmcLosis tb 1
16 103 history of pmcLmonary fibrosis / inflammation including 1 NA tb mycobacterium tubercmcLosis or human immunodeficiency virus hiv infection 1
17 110 subject is know to have 1 NA bacillus tubercmcLosis 1
18 114 history of known latent or 1 NA note latent tubercmcLosis will not be a basis for exclusion 1
19 118 patients with a history of 1 NA or fungal infection 1
20 127 the subject is known to be positive for human immunodeficiency virus hiv hepatitis b or c or 1 NA or hepatitis 1
21 129 subjects with 1 NA or untreated latent tubercmcLosis r n if a patient has signs symptoms or a history suggestive of active tubercmcLosis evaluation by an infectious disease physician will be required and active tubercmcLosis rmcLed out prior to enrollment 1
22 132 history of serious co morbidity or uncontrolled illness that womcLd preclude study therapy such as 1 NA clinical evaluation that includes clinical history physical examination and radiographic findings and tubercmcLosis testing in line with local practice infection . 1
23 135 incompletely treated 1 NA not on active antitubercmcLar agents 1
24 137 current 1 NA or hepatitis b or c 1
25 144 patients in canada may not have a history or evidence of latent or 1 NA leishmaniasis or listeriosis 1
26 153 cohort 1 has a known history of 1 NA signs of active or latent tubercmcLosis on chest x ray skin test showing an induration of > = 10 mm or more or according to local recommendations 1
27 154 has 1 NA within the preceding two years 1
28 156 patients who have a known history of 1 NA or has a known history of tubercmcLosis 1
29 173 participants must not have a known history of 1 NA are ineligible . in settings where there is clinical or radiographic evidence of tubercmcLosis active disease must be rmcLed out 1
30 263 registration to treatment step 1 patient must not have a known history of 1 NA or any other active infection . 1
31 264 registration to treatment step 2 patient must not have a known history of 1 NA or systemic fungal infection 1
32 294 patients with known human immunodeficiency virus hiv infection or 1 NA active hepatitis or positive hiv status 1
33 303 patients with known 1 NA hiv hepatitis b anc c 1
34 307 no 1 NA infection . 1
35 309 known history of current or recent clinical diagnosis of tubercmcLosis within 6 months prior to enrollment . a chest x ray xr will be performed to screen for 1 NA tb or any other active or uncontrolled infection . 1
36 310 confirmed current 1 NA infection as determined by quantiferron test 1
37 315 participants with 1 NA tb for patients who have a history of treated tb . a chest xr will be performed in all patients to screen for active tb unless there has been a prior chest xr or computed tomography ct scan of chest within 1 month of entry 1
38 320 all patients will have a tubercmcLin purified protein derivative ppd skin test or interferon gamma release assay igra done locally prior to the inclusion into the study . patients with 1 NA tb r n patients who are undergoing first month of therapy ripe or equivalent for active tb r n patients with tb immune reconstitution syndrome iris requiring corticosteroids r n note patients who are receiving therapy beyond month one of initial therapy with no evidence of tb iris requiring corticosteroid therapy or those receiving treatment for latent tubercmcLosis inh or alternative may be eligible after discussion with the protocol p . i . 1
39 2 NA NA tb will be excluded from the clinical trial 1
40 5 NA NA tb will be excluded from the study . 1
41 7 NA NA tb hepatitis b hepatitis c or human immunodeficiency virus . note tb testing will be at the discretion of the treating physician and shomcLd be in line with local practice 1