移民后筛查在控制难民结核病方面的有效性：一项1984年至1998年的历史性队列研究
Effectiveness of postmigration screening in controlling tuberculosis among refugees: a historical cohort study, 1984-1998.
作者信息
Marks G B, Bai J, Stewart G J, Simpson S E, Sullivan E A
机构信息
South Western Sydney Area Health Service, Sydney, Australia.
出版信息
Am J Public Health. 2001 Nov;91(11):1797-9. doi: 10.2105/ajph.91.11.1797.
Abstract
OBJECTIVES
This study assessed the effectiveness of postmigration screening for the control of tuberculosis (TB) among refugee migrants.
METHODS
We conducted a historical cohort study among 24 610 predominantly Southeast Asian refugees who had arrived in Sydney, Australia, between 1984 and 1994. All had been screened for TB before arrival and had radiologic follow-up for 18 months after arrival. Incident cases of TB were identified by record linkage analysis with confirmatory review of case notes.
RESULTS
The crude annual incidence rate over 10-year follow-up was 74.9 per 100 000 person-years. Only 29.6% of the cases were diagnosed as a result of routine follow-up procedures.
CONCLUSIONS
Enhanced passive case finding is likely to be more effective than active case finding for the control of TB among refugees.
摘要
目的
本研究评估了移民后结核病（TB）筛查对难民移民中结核病控制的有效性。
方法
我们对1984年至1994年间抵达澳大利亚悉尼的24610名主要为东南亚难民进行了一项历史性队列研究。所有人在抵达前都接受了结核病筛查，并在抵达后进行了18个月的放射学随访。通过记录链接分析和病例记录的确认性审查确定结核病的发病病例。
结果
在10年随访期间，粗年发病率为每10万人年74.9例。只有29.6%的病例是通过常规随访程序诊断出来的。
结论
在难民中控制结核病方面，加强被动病例发现可能比主动病例发现更有效。
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本文引用的文献
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