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在新不伦瑞克南部移民中加强结核病感染查:一项横断试点研究

Isdore Chola Shamputa¹, Duyen Thi Kim Nguyen^2,3, Hope Mackenzie⁴

¹Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB.

Canada communicable disease report = Releve des maladies transmissibles au Canada

|August 21, 2025

概括

来自高结核病发病率国家的移民患有更高的潜伏结核病感染率. 建议对来自TB发病率≥300/100,000地区的移民进行查,参与者对试点LTBI查程序的反是积极的.

科学领域:

公共卫生
传染性疾病
移民健康

背景情况:

在加拿大的外籍人士中,结核病 (TB) 患病率不成比例,大多数病例源于抵达后潜伏结核病感染 (LTBI) 的重新激活.
在新不伦瑞克,外国出生的结核病例从2013年的33%上升到2023年的100%.
移民前的医疗检查发现的结核病例不到3%.

研究的目的:

估计新不伦瑞克南部移民中潜伏性结核感染 (LTBI) 的患病率.
确定积极的LTBI查的预测因素.
评估参与者在试点LTBI查程序中的经验.

主要方法:

一项横截面研究涉及264名来自高结核病发病率国家或医疗保健专业人员的19岁以上的移民.
使用干扰素释试验 (IGRA) 进行了潜伏结核感染 (LTBI) 查.
参与者完成了一项关于查经验的调查.

主要成果:

18. 6% (49/ 264) 的参与者检测出LTBI.
在高度流行的结核病国家 (≥300/100,000人口) 和年龄较大的人群中,结核病查结果的几率较高.
参与者报告了试点LTBI查程序的积极经验 (平均得分为4. 03- 4. 55/5).

结论:

来自结核病发病率≥300/100,000的国家的移民应考虑进行LTBI查和治疗.
试点LTBI查程序受到参与者的欢迎.
建议使用更大的样本进行进一步研究以验证结果.

关键词:

美国IGRA 移民的健康预防措施进行查结核病感染

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