Division of Respirology, The Ottawa Hospital Research Institute, University of Ottawa at The Ottawa Hospital, Ottawa, Ontario, Canada.
Int J Tuberc Lung Dis. 2010 Dec;14(12):1530-7.
Tuberculosis (TB) screening in migrant children, including immigrants, refugees and asylum seekers, is an ongoing challenge in low TB incidence countries. Many children from high TB incidence countries harbor latent TB infection (LTBI), and some have active TB disease at the point of immigration into host nations. Young children who harbor LTBI have a high risk of progression to TB disease and are at a higher risk than adults of developing disseminated severe forms of TB with significant morbidity and mortality. Many countries have developed immigration TB screening programs to suit the needs of adults, but have not focused much attention on migrant children.
To compare the TB immigration medical examination requirements in children in selected countries with high immigration and low TB incidence rates.
Descriptive study of TB immigration screening programs for systematically selected countries.
Of 18 eligible countries, 16 responded to the written survey and telephone interview.
No two countries had the same approach to TB screening among migrant children. The optimal evidenced-based manner in which to screen migrant children requires further research.
在结核病发病率较低的国家，对移民儿童（包括移民、难民和寻求庇护者）进行结核病筛查仍然是一个持续存在的挑战。许多来自结核病高发病率国家的儿童患有潜伏性结核感染（LTBI），并且有些在移民到东道国时患有活动性结核病。携带 LTBI 的幼儿发展为结核病的风险很高，比成年人更容易患上播散性严重结核病，发病率和死亡率都很高。许多国家制定了移民结核病筛查计划，以满足成年人的需求，但对移民儿童的关注甚少。
比较选定的高移民率和低结核病发病率国家中儿童的结核病移民体检要求。
对系统选择的国家的结核病移民筛查计划进行描述性研究。
在 18 个符合条件的国家中，有 16 个国家对书面调查和电话访谈做出了回应。
没有两个国家对移民儿童的结核病筛查采用相同的方法。进一步的研究需要确定最佳的基于证据的移民儿童筛查方式。
