结核病在美国绑定后续加入庇护者的2014-2019年
Yecai Liu1, Drew L Posey1, Michelle S Weinberg1
1Division of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
The American journal of tropical medicine and hygiene
|March 26, 2024
概括
海外结核病 (TB) 查有效地识别了结核病或有风险的寻求庇护者. 然而,对于这些人来说,抵达后评估的频率低于移民和难民.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 移民 卫生 移民 卫生
背景情况:
- 寻求进入美国的庇护者接受海外医疗检查,包括结核病 (TB) 查.
- 基于培养的海外结核病查对后续加入庇护者的有效性以前没有得到评估.
- 后续加入的庇护者需要在美国抵达之前进行海外医疗评估,包括结核病查.
研究的目的:
- 评估基于文化的海外结核病查在美国的后续加入庇护者的有效性.
- 评估在特定的高风险庇护者群体中抵达后结核病评估的比率.
主要方法:
- 对2014-2019年期间到达的19088名后续加入庇护者的海外结核病查数据的分析.
- 结核病发现的分类为B0类 (已完成治疗),B1类 (肺结核病怀疑) 和B2类 (潜伏结核病感染).
- 对每个TB分类的抵达后评估完成率的评估.
主要成果:
- 海外查发现29例B0级结核病例和340例B1级肺结核病例.
- 在来自高发病率国家的2-14岁儿童中,6.0%被归类为B2类潜伏结核病感染 (LTBI).
- 抵达后评估完成率为B0类结核病的44.8%,B1类结核病的51.5%,B2类LTBI的40.4%.
结论:
- 基于文化的海外结核病查有效地识别了有活跃结核病或有结核病风险的美国后续加入庇护者.
- 与移民和难民相比,跟进加入的庇护者完成推的抵达后结核病评估的完成率明显较低.
相关概念视频
Pulmonary Tuberculosis I
242
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
242
Pulmonary Tuberculosis V
179
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
179
Pulmonary Tuberculosis II
228
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
228
Pulmonary Tuberculosis IV
142
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
142
Pulmonary Tuberculosis III
325
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
325


