Outcomes from a national screening program for Ukrainian refugees at risk of drug resistant tuberculosis in Wales.

Autor:	Barry SM; Respiratory Medicine, Cardiff and Vale UHB, Cardiff, UK simon.barry@wales.nhs.uk.; Respiratory Health Implementation Group, Cardiff, UK., Davies G; Institute for Clinical Science and Technology, Cardiff, UK., Barry TD; Division of infection and immunity, Cardiff University, Cardiff, UK., Evans J; Child Health, Cardiff and Vale University Health Board, Cardiff, UK., Backx M; Infectious Disease, Cardiff and Vale University Health Board, Cardiff, UK., Brouns M; Department of Respiratory Medicine, Aneurin Bevan University Health Board, Abergavenny, UK., Mughal A; Respiratory Medicine, Swansea Bay University Health Board, Swansea, UK., Kelly S; Respiratory Medicine, Betsi Cadwaladr University Health Board, Wrexham, UK., Collier G; Hywel Dda University Health Board, Carmarthen, UK., Ambalavanan S; Betsi Cadwaladr University Health Board, Rhyl, UK., Davies C; Institute for Clinical Science and Technology, Cardiff, UK., Sharp H; Institute for Clinical Science and Technology, Cardiff, UK., Lloyd P; Respiratory Medicine, Betsi Cadwaladr University Health Board, Wrexham, UK., Hester Y; Respiratory Medicine, Cardiff and Vale University Health Board, Cardiff, UK., Murray N; Respiratory Medicine, Cwm Taf Morgannwg University Health Board, Llantrisant, UK., Goddard K; Respiratory Medicine, Hywel Dda University Health Board, Carmarthen, UK., Johnstone L; Respiratory Medicine, Swansea Bay University Health Board, Swansea, UK., Parry J; Respiratory Medicine, Betsi Cadwaladr University Health Board, Bangor, UK., Davies O; Respiratory Medicine, Betsi Cadwaladr University Health Board, Bangor, UK., Williams R; Respiratory Medicine, Cwm Taf Morgannwg University Health Board, Llantrisant, UK., Ahern G; Public Health Wales, Cardiff, UK., Smith J; Public Health Wales, Cardiff, UK.
Jazyk:	angličtina
Zdroj:	Thorax [Thorax] 2023 Dec 15; Vol. 79 (1), pp. 86-89. Date of Electronic Publication: 2023 Dec 15.
DOI:	10.1136/thorax-2023-220161
Abstrakt:	High rates of drug-resistant tuberculosis in Ukraine suggest screening is necessary to mitigate public health hazards for host populations. A pathway was implemented in Wales and data prospectively collected Between 8 April and 21 December 2022. Of 5425 Ukrainian arrivals, notifications were received by TB teams on 2395 (44%) of whom 1955 (82%) were screened. The refugees were young (median age 30, IQR 14-41), and predominantly female (66.1%). Interferon- gamma release assay (IGRA) tests were positive in 112 (6.5%). One Case of active tuberculosis was identified (0.05%). Our data supports European guidelines that routine screening of this population is not recommended, but we remain uncertain as to the risks of this population going forwards. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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