评估加拿大加强对移民结核病感染的查倡议:阿尔伯塔省的实施经验教训
Courtney Heffernan1, Abdul Jamro2, Mary Lou Egedahl1
1Tuberculosis Program Evaluation and Research Unit, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.
概括
加拿大针对移民的新结核病查有效,预防了治疗患者的活跃结核病. 然而,该计划需要改进,以减少测试效率低下,并确保适当的转诊.
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:
- 高收入国家的结核病 (TB) 主要是由移民中重新激活的感染引起的.
- 在加拿大,超过75%的活跃结核病例是在国外出生的患者中被诊断出来的.
- 加拿大移民,难民和公民办公室 (IRCC) 的2019年倡议旨在选移民的结核病感染 (TBIs).
研究的目的:
- 为了评估结核病查的结果,个人通过加拿大阿尔伯塔省的IRCC倡议.
- 评估TBI查计划在预防活跃结核病方面的有效性.
- 确定在移民的结核病查过程中需要改进的领域.
主要方法:
- 在2019年5月至2023年5月期间,对阿尔伯塔省结核病服务的个人进行结核病结果评估.
- 纳入标准侧重于患有特定健康状况或最近暴露于结核病的移民.
- 分析转诊数据,治疗接受率,完成率和计划低效率.
主要成果:
- 在转诊后接受治疗的个人中,没有人患有活跃结核病.
- 95人有资格接受结核病预防,其中87%接受治疗,完成治疗率为95%.
- 鉴定了效率低下点:113人进行了重复测试,39人没有符合标准,61人尽管接受过先前的治疗,但仍被转诊.
结论:
- 通过IRCC的TBI查计划,IRCC成功地将被提及的个人与阿尔伯塔省的TB服务联系起来.
- 该计划在治疗患者中预防活跃结核病方面表现出高效.
- 需要进行计划性改进,以解决查和转诊过程中的效率低下问题.
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