来自高发病率国家移民的结核病感染管理:挑战,战略和建议
Salvatore Rotundo1, Francesca Serapide2,3, Gabriella d'Ettorre4
1Department of Medical and Surgical Sciences, "Magna Graecia" University, Catanzaro, Italy. srotundo91@gmail.com.
概括
在移民中管理结核病感染 (TBI) 提出了诸如诊断局限性和社会经济障碍等挑战. 为了有效的查和治疗策略,全面,文化敏感的方法至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 移民 卫生 移民 卫生
背景情况:
- 结核病 (TB) 是一个全球性的健康问题,在发病率低的国家,移民人口构成了独特的挑战.
- 在移民中管理结核病感染 (TBI) 需要解决诊断,社会经济和文化障碍.
研究的目的:
- 审查移民人口中管理结核病感染 (TBI) 的挑战和策略.
- 讨论移民中TBI的诊断局限性,社会经济障碍和治疗选择.
主要方法:
- 关于移民中TBI管理的挑战和策略的文献综述.
- 讨论查测试 (TST,IGRA),两步测试方案和治疗方案.
- 对影响TBI管理的社会经济,文化和结构因素的分析.
主要成果:
- TST和IGRA的诊断局限性,社会经济障碍,文化信仰和流动性阻碍了TBI查和治疗.
- 对于查方法 (主动或有针对性) 和治疗方案 (以异化物,基于利法素) 存在各种建议.
- 肝毒性和坚持问题是移民TBI治疗的重大挑战.
结论:
- 移民中有效的TBI管理需要一个全面的战略,解决社会经济,文化和结构因素.
- 卫生保健提供者,政策制定者和移民社区之间的合作对于文化敏感的协议至关重要.
- 需要进一步的研究来评估专门针对移民人口的查和治疗策略.
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