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在欧洲移民人口中进行结核查:对当前实践的范围审查
Sara Braga1, Mariana Vieira2,3, Pedro Barbosa2,3,4
1Hospital Sousa Martins - Unidade Local de Saúde da Guarda, Guarda, Portugal.
Breathe (Sheffield, England)
|May 15, 2024
概括
由于病例的增加,欧洲国家对移民进行结核病 (TB) 查. 查策略各不相同,物理,文化和职业障碍阻碍移民获得结核病和潜伏结核病感染 (LTBI) 服务.
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:
- 欧洲低发病率国家的结核病 (TB) 发病率上升与来自高发病率地区的移民人口有关.
- 世界卫生组织建议移民进行结核病查,以控制疾病的传播.
研究的目的:
- 综合有关当前活跃结核病和潜伏结核病感染 (LTBI) 查策略的证据,用于高收入欧洲国家的移民.
- 确定与这些查计划相关的障碍和干预措施.
主要方法:
- 在PubMed,Web of Science和Scopus的系统文献搜索 (2023年3月至4月).
- 包括过去十年的英语文章,重点关注欧洲移民的TB/LTBI查 (不包括难民/寻求庇护者).
- 32项研究符合纳入标准.
主要成果:
- 欧洲各国的结核病/LTBI查方法在时间,目标人群,地点和诊断方法方面存在显著差异.
- 阻碍移民参与查的关键障碍包括身体,文化和专业方面的挑战.
- 目前的查策略并没有被一般移民群体一致遵守.
结论:
- 欧洲移民现有的结核病和长期性结核病查策略异质,并面临重大实施障碍.
- 需要进一步的研究,以了解移民的坚持模式,以优化查的有效性和减少结核病的传播.
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