Dataset Information

Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network.

ABSTRACT: Tuberculosis (TB) does not respect borders, and migration confounds global TB control and elimination. Systematic screening of immigrants from TB high burden settings and-to a lesser degree TB infection (TBI)-is recommended in most countries with a low incidence of TB. The aim of the study was to evaluate the views of a diverse group of international health professionals on TB management among migrants. Participants expressed their level of agreement using a six-point Likert scale with different statements in an online survey available in English, French, Mandarin, Spanish, Portuguese and Russian. The survey consisted of eight sections, covering TB and TBI screening and treatment in migrants. A total of 1055 respondents from 80 countries and territories participated between November 2019 and April 2020. The largest professional groups were pulmonologists (16.8%), other clinicians (30.4%), and nurses (11.8%). Participants generally supported infection control and TB surveillance established practices (administrative interventions, personal protection, etc.), while they disagreed on how to diagnose and manage both TB and TBI, particularly on which TBI regimens to use and when patients should be hospitalised. The results of this first knowledge, attitude and practice study on TB screening and treatment in migrants will inform public health policy and educational resources.

SUBMITTER: D'Ambrosio L

PROVIDER: S-EPMC8615134 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network.

D'Ambrosio Lia L Centis Rosella R Dobler Claudia C CC Tiberi Simon S Matteelli Alberto A Denholm Justin J Zenner Dominik D Al-Abri Seif S Alyaquobi Fatma F Arbex Marcos Abdo MA Belilovskiy Evgeny E Blanc François-Xavier FX Borisov Sergey S Carvalho Anna Cristina C ACC Chakaya Jeremiah Muhwa JM Cocco Nicola N Codecasa Luigi Ruffo LR Dalcolmo Margareth Pretti MP Dheda Keertan K Dinh-Xuan Anh Tuan AT Esposito Susanna R SR García-García José-María JM Li Yang Y Manga Selene S Marchese Valentina V Muñoz Torrico Marcela M Pontali Emanuele E Rendon Adrián A Rossato Silva Denise D Singla Rupak R Solovic Ivan I Sotgiu Giovanni G van den Boom Martin M Nhung Nguyen Viet NV Zellweger Jean-Pierre JP Migliori Giovanni Battista GB

Antibiotics (Basel, Switzerland) 20211105 11

Tuberculosis (TB) does not respect borders, and migration confounds global TB control and elimination. Systematic screening of immigrants from TB high burden settings and-to a lesser degree TB infection (TBI)-is recommended in most countries with a low incidence of TB. The aim of the study was to evaluate the views of a diverse group of international health professionals on TB management among migrants. Participants expressed their level of agreement using a six-point Likert scale with different ...[more]

PMID: 34827293

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Project description:BackgroundTuberculosis (TB) among migrants from high-risk countries and underling interventions were concerned for disease control. This study aimed to assess the TB trends among marriage-migrants with the 1-2-round vs. labor-migrants with the four-round TB screenings in the period of the first four post-entry years; pre-entry screenings by an initial chest X-ray (CXR) were conducted during 2012-2015, and a friendly treatment policy was introduced in 2014.MethodsTB data of migrants during 2012-2015 were obtained from the National TB Registry Database and analyzed. The incidences, clinical characteristics, and treatment outcomes were assessed to explore the impact of underlying interventions.ResultsDuring post-entry 0-4 years, the TB incidence rates among marriage-migrants ranged 11-90 per 100,000 person-years, with 60.8% bacteria-positive and 28.2% smear-positive cases. Whereas among labor migrants, the incidence rates ranged 67-120 per 100,000 person-years, with 43.6% bacteria-positive and 13.7% smear-positive cases. All migrants originated from Southeast Asia following pre-entry health screening in 2012-2015. The TB cases among marriage-migrants were with a higher proportion of sputum-smear-positivity (SS+) (OR: 4.82, 95% CI [3.7-6.34]) and CXR cavitation (OR: 2.90, 95% CI [2.10-4.01]). Marriage-migrants with TB had treatment completion rate of >90%, which was above the WHO target. For labor-migrants with TB, when compared the period of post- vs. pre-implementation of the friendly therapy policy that eliminated compulsory repatriation, the overall treatment completion rate of those who stayed in Taiwan improved by 30.9% (95% CI [24.3-37.6]) vs. 6.7% (95% CI [3.8-9.7]), which exceeded a 4.88-fold (95% CI: 3.83-6.22) improvement. Additionally, the treatment initiation rate within 30 days of diagnosis for SS- TB and B- TB cases during post- vs. pre-implementation of the therapy policy was increased, that is, 77.1% vs. 70.9% (OR: 1.38, 95% CI [1.12-1.70]) and 78% vs. 77% (OR: 1.64, 95% CI [1.38-1.95]).ConclusionMultiple CXR screenings could identify more TB cases with sputum-smear-negativity (SS-) TB at the early-stage, introducing latent tuberculosis infection (LTBI) screening might save underlying efforts. For those labor-migrants with TB who stayed in the receiving country, the friendly TB therapy policy not only significantly improved the treatment completion but also the early treatment initiation.

Dataset Information

Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network.

Publications

Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network.

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