| Autor: |
N L, Johnsen, T W, Steen, H, Meyer, E, Heldal, I J K, Skarpaas, G B, June |
| Rok vydání: |
2005 |
| Předmět: |
|
| Zdroj: |
The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 9(1) |
| ISSN: |
1027-3719 |
| Popis: |
Municipalities of Baerum and Oslo, Norway.To examine the effectiveness of tuberculosis (TB) screening in asylum seekers 1987-1995, and to describe TB incidence rates after arrival.Register-based, retrospective cohort study of 19912 asylum seekers with a mean follow-up of 6.3 years.Seventy-six persons were diagnosed with TB, of whom 43 (57%) had pulmonary TB. Twenty-two cases (17 pulmonary) were found through screening at entry. Eleven persons had abnormal mass miniature X-rays (MMRs), but had inadequate follow-up and were diagnosed later through passive case finding. MMR itself had a sensitivity of 96% and a specificity of 98% for pulmonary TB, diagnosed within 1 year after arrival. TB prevalence at entry was 110/100000; for Somalis it was 577/100000. Incidence rates were stable in the total cohort after arrival, whereas rates for extra-pulmonary TB in Somalis increased.Screening on entry should continue, but follow-up of abnormal MMRs must be improved. There should be more emphasis on treatment of latent infection. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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