Gacek Paul, Sosa Lynn, Lobato Mark N
Connecticut Department of Public Health, Hartford, CT, USA.
Conn Med. 2013 Jun-Jul;77(6):325-30.
Immigrants and refugees screened overseas and found to have Mycobacterium tuberculosis infection (TB arrivers) are either treated fortuberculosis (TB) or, if disease is not found these arrivers are given a TB classification of latent TB infection (LTBI) and are referred for reexamination after arriving in the United States.
A retrospective cohort analysis was performed of TB arrivers in Connecticut to determine the proportion of TB arrivers documentedwith their postarrival domestic medical examination and to determine the proportion of TB arriverswho started and completed LTBI treatment.
Of 184TB arrivers, 109 (59%) were evaluated for TB after arrival and four (4%) were diagnosed withTB. Of 105 personswith LTBI,49 (47%) started treatment, and of those 15(30%) completedtreatment.
The majority of TB cases in Connecticut are among foreign-born individuals. Improving TB control overseas is a crucial step in the reduction of TB in the United States. Improvements are still needed to ensure timely, postarrival medical examinations that ensure treatment for high-risk persons with LTBI to reduce TB in Connecticut's foreign-born populations.
在海外接受筛查并被发现患有结核分枝杆菌感染的移民和难民（结核病抵达者）要么接受结核病治疗，要么，如果未发现疾病，这些抵达者会被归类为潜伏性结核感染（LTBI），并在抵达美国后被转介进行复查。
对康涅狄格州的结核病抵达者进行回顾性队列分析，以确定有抵达后国内医学检查记录的结核病抵达者比例，并确定开始并完成LTBI治疗的结核病抵达者比例。
在184名结核病抵达者中，109人（59%）在抵达后接受了结核病评估，4人（4%）被诊断患有结核病。在105名LTBI患者中，49人（47%）开始治疗，其中15人（30%）完成治疗。
康涅狄格州的大多数结核病病例发生在外国出生的个体中。改善海外结核病控制是美国减少结核病的关键一步。仍需改进以确保及时进行抵达后医学检查，确保对LTBI高危人群进行治疗，以减少康涅狄格州外国出生人群中的结核病。
