在美国境内的国际收养者中结核病和感染:2016年至2023年
Yecai Liu1, Christina R Phares1, Pamela Logan1
1Division of Global Migration Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Pediatrics
|March 3, 2026
概括
海外结核病 (TB) 查对美国领养者至关重要,显示结核病的高患病率与其他移民儿童相似. 及时的抵达后评估确保了有效的管理,并防止了疾病的传播.
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:
- 在移民美国之前,国际收养者在海外接受结核病 (TB) 查.
- 评估这种移民前查的有效性对于公共卫生至关重要.
- 了解这一群体中的结核病发病率,可以为查策略提供信息.
研究的目的:
- 评估基于文化的海外结核病查在美国境内的国际收养者的实用性和结果.
- 为了确定结核病和潜伏结核病感染 (LTBI) 在这个队列中的流行率.
- 评估到达后结核病评估的完成和产量.
主要方法:
- 在2016-2023年期间在海外选的22,053名国际收养者的横截面分析.
- 分析包括在海外诊断的结核病,可疑结核病和潜在结核感染 (LTBI) 的数据.
- 评估抵达后的随访完成率和诊断产量.
主要成果:
- 在54/100,000人中诊断出结核病,在766/100,000人中怀疑结核病.
- 在海外接受测试的患者中,潜在结核病感染 (LTBI) 被诊断为2.5%.
- 抵达后的评估确认了1.9%的疑似病例和0%的LTBI病例的结核病,治疗完成率不同.
结论:
- 美国境内的国际收养者表现出结核病的高患病率,与移民和难民儿童相比.
- 移民前的结核病查对于识别感染性个体至关重要.
- 确保及时和完整的抵达后评估对于管理这一群体的结核病至关重要.
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