Potential Effect of Statins on Mycobacterium tuberculosis Infection
Table 3
Retrospective studies of statin use in humans and the risk of developing tuberculosis.
Author
Year
Method
Patients
Conclusions
Kang et al.
2014
Retrospective cohort study
840,894 newly diagnosed type 2 DM patients aged 20-99 years who were newly treated with antidiabetic drugs
Statin use in newly diagnosed type 2 diabetics was not associated with protection against or a higher risk of developing tuberculosis
Lee et al.
2015
Retrospective cohort study
13,981 patients with type 2 diabetes aged more than 65 years
After adjusting for age, sex, other comorbidities, and medications, statin users had a lower independent association, with a risk ratio of 0.76 (95% CI, 0.60-0.97)
Lai et al.
2016
Retrospective nested case-control study
8098 new TB cases and 809,800 control patients
Statin users had a decreased risk of active tuberculosis. Chronic use of statins (more than 90 days) was associated with the lowest risk (RR 0.62; 95% CI 0.53-0.72)
Su et al.
2017
Retrospective nested case-control study
102,424 statin users, 202,718 patients aged 20 years or older, and 202,718 matched subjects
Statin use is an independent protective factor for tuberculosis development. There is a dose-dependent association between statin use and risk of active tuberculosis