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Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network
Lia D'Ambrosio1, Rosella Centis2, Claudia C Dobler3,4
1Public Health Consulting Group, 6900 Lugano, Switzerland.
Antibiotics (Basel, Switzerland)
|November 27, 2021
Summary
International health professionals support TB screening for migrants but disagree on diagnosis and treatment protocols for tuberculosis (TB) and TB infection (TBI). This study highlights key areas for improved public health policy and education.
Area of Science:
- Global Health
- Infectious Diseases
- Public Health Policy
Background:
- Tuberculosis (TB) control is complicated by migration, necessitating screening of immigrants from high-burden regions.
- Systematic screening for TB and TB infection (TBI) is recommended in low-incidence countries.
Purpose of the Study:
- To assess international health professionals' views on TB and TBI management in migrants.
- To identify consensus and divergence in opinions regarding screening and treatment strategies.
Main Methods:
- An online survey was distributed in multiple languages to 1055 health professionals from 80 countries.
- Participants used a six-point Likert scale to respond to statements on TB and TBI screening and management.
- Respondents included pulmonologists, other clinicians, and nurses.
Main Results:
- Professionals generally agreed on established infection control and TB surveillance practices.
- Significant disagreement emerged regarding the diagnosis and management of both TB and TBI.
- Specific points of contention included TBI treatment regimens and patient hospitalization criteria.
Conclusions:
- This study provides the first comprehensive knowledge, attitude, and practice assessment of TB management in migrants.
- Findings will inform the development of targeted public health policies and educational initiatives.
- Addressing professional disagreements is crucial for effective global TB elimination strategies.
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