Department of Respiratory and Sleep Disorders Medicine, Western Hospital, Footscray, Victoria, Australia.
Int J Tuberc Lung Dis. 2012 Jan;16(1):50-4. doi: 10.5588/ijtld.10.0565.
Tuberculosis (TB) screening clinic.
To determine TB prevalence at entry, screening yield and incidence in immigrants on a TB health undertaking (TBU) who were selected for post-migration screening due to an abnormal chest radiograph (CXR) in Victoria, Australia, in the years 1996-2006.
Rates of notified TB calculated from linkage of a screening programme database with the Victorian TB database.
Prevalence at entry (cases notified between arrival in Australia and 6 months after the screening registration date) was 505 per 100,000 population; yield at entry (prevalent cases detected by the screening programme) was 420/100,000, and incidence (cases notified between 6 and 12 months after screening registration date) was 160/100,000 person-years. Persons issued a TBU after applying from within Australia (on-shore) had a prevalence of 1876/100,000, seven-fold higher than those issued a TBU outside Australia (off-shore, 254/100,000). The combination of an abnormal CXR and a tuberculin skin test ≥ 15 mm carried a prevalence of notified TB of 2907/100,000.
Selective post-migration screening can achieve a high yield of notified TB.
结核病（TB）筛查诊所。
确定在澳大利亚维多利亚州因异常胸部 X 光片（CXR）而选择进行移民后筛查的结核病健康承诺（TBU）移民入境时的 TB 患病率、筛查率和发病率。
通过将筛查计划数据库与维多利亚州 TB 数据库进行链接，计算报告的 TB 率。
入境时的患病率（在抵达澳大利亚和筛查登记日期后 6 个月内报告的病例）为每 10 万人中有 505 例；入境时的检出率（筛查计划检测到的流行病例）为 420/100,000，发病率（在筛查登记日期后 6 至 12 个月内报告的病例）为 160/100,000 人年。从澳大利亚境内（境内）申请的人获得 TBU 的患病率为 1876/100,000，是在澳大利亚境外（境外）获得 TBU 的人的七倍（254/100,000）。异常 CXR 和结核菌素皮肤试验≥15mm 的组合使报告的 TB 患病率达到 2907/100,000。
选择性移民后筛查可以获得高的 TB 检出率。
