对移民到不列颠哥伦比亚省的人员登陆后监控过程的评估:一项回顾性队列研究
Audrey Mitchell1, Raman Ubhi2, Negar Mousavi2
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
概括
加拿大移民的结核病 (TB) 查效率低下. 登陆后的监测过程缓慢且资源密集,对结核病检测和移民的结果产生不确定的影响.
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:
- 来加拿大的移民面临着不成比例的结核病 (TB) 负担.
- 目前的结核病查依赖于移民医疗检查 (IME) 和登陆后监测,这个系统几十年来没有变化.
- 由IME识别的高风险个体经过着陆后的监视,以检测结核病.
研究的目的:
- 审查目前在不列颠哥伦比亚省 (BC) 的移民登陆后结核病监测流程的有效性和效率.
- 识别移民结核病查协议的低效和需要改进的领域.
主要方法:
- 从2020年8月到2022年5月,在BC进行了一项回顾性队列研究.
- 从IME记录和省级结核病登记处收集了1700名参与者登陆后监测的数据.
- 参与者被跟踪了两年,以评估结核病诊断和临床结果.
主要成果:
- 1.1% (19/1700) 的参与者在抵达后被诊断出患有结核病.
- 降落后检查的中位时间为211天.
- 干扰素释测试 (IGRA) 和结核素皮肤测试 (TST) 分别在35.5%和65.6%的受试者中显示出阳性结果.
结论:
- 目前在不列颠哥伦比亚省的结核病登陆后监测系统缓慢且资源密集.
- 该过程对移民和医疗保健系统结核病结果的影响尚不确定.
- 需要优化这一过程,更好地识别患结核病风险最高的个体.
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