Rogo Tanya, Eleanya Cynthia, Hirway Priya, Pelland Doreen, Lewis Carol, Dennehy Penelope, Losikoff Phyllis
Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI.
R I Med J (2013). 2017 Feb 1;100(2):34-38.
Refugee populations in the US have a higher reported prevalence of latent tuberculosis infection (LTBI). The objective of this study was to assess adherence to LTBI treatment in refugee and non-refugee children living in Rhode Island.
This was a retrospective review of LTBI patients seen in the Hasbro Pediatric Tuberculosis Clinic between August 2009 and September 2011.
Of 120 patients with LTBI, 93% were foreign-born and 30% were refugees. Overall, 94 children (78.3%) completed therapy. Higher rates of treatment completion were seen among patients who were female, referred within the same hospital system, used an interpreter, and did not report side effects. Refugees attended more scheduled visits compared to non-refugees (p=0.019).
Overall rates of completion of LTBI treatment were high in this population. Better adherence to clinic visits, likely due to the increased support and care coordination provided to the refugee children, improved treatment completion rates. [Full article available at http://rimed.org/rimedicaljournal-2017-02.asp].
据报告,美国难民群体中潜伏性结核感染(LTBI)的患病率较高。本研究的目的是评估罗德岛州难民儿童和非难民儿童对LTBI治疗的依从性。
这是一项对2009年8月至2011年9月在哈斯伯罗儿科结核病诊所就诊的LTBI患者的回顾性研究。
在120例LTBI患者中,93%为外国出生,30%为难民。总体而言,94名儿童(78.3%)完成了治疗。女性患者、在同一医院系统内转诊、使用口译员且未报告副作用的患者治疗完成率较高。与非难民相比,难民参加的预定就诊次数更多(p=0.019)。
该人群中LTBI治疗的总体完成率较高。对门诊就诊的更好依从性,可能是由于为难民儿童提供了更多支持和护理协调,提高了治疗完成率。[全文可在http://rimed.org/rimedicaljournal-2017-02.asp获取]