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在澳大利亚一家地区医院的传染病难民健康诊所就诊的难民的健康问题。

Health issues of refugees attending an infectious disease refugee health clinic in a regional Australian hospital.

机构信息

BMBS, Senior House Officer, Department of General Medicine, Isle of Wight Hospital, NHS Trust, UK; Barwon Health, Geelong, Vic.

@BMBS, General Practice Registrar, Cambourne Clinic, Warrnambool, Vic.

出版信息

Aust J Gen Pract. 2018 May;47(5):305-310. doi: 10.31128/AFP-10-17-4355.

DOI:10.31128/AFP-10-17-4355
PMID:29779299
Abstract

BACKGROUND AND OBJECTIVES

Refugees in Australia present with conditions different to those of the general population. The aim of this study was to review the reasons for referral, prevalence of conditions and treatment outcomes for refugee patients attending a specialist referral clinic in regional Victoria.

METHOD

A retrospective review was undertaken of patients attending the refugee health clinic at University Hospital Geelong from January 2007 to December 2012.

RESULTS

Two hundred and ninety-one refugee patients attended the clinic over the six-year period. Latent tuberculosis infection (LTBI) (54.6%), vitamin deficiencies (15.8%), hepatitis B (11%) and schistosomiasis (11%) were the most common diagnoses. Less than two-thirds of the patients completed LTBI treatment; 35.4% of patients attended all scheduled clinic appointments.

DISCUSSION

LTBI, vitamin deficiencies, parasitic infections and hepatitis B were the most common diagnoses among refugees referred to the University Hospital Geelong (UHG) Refugee Health Clinic from January 2007 to December 2012. General practitioners play an important role in the care of refugees, guiding referral to specialist services when necessary and recognising the potential implications of suboptimal clinic attendance and treatment completion.

摘要

背景和目的

澳大利亚的难民所呈现的状况与一般人群不同。本研究旨在回顾在维多利亚州地区的一所大学医院的专科转诊诊所就诊的难民患者的转诊原因、疾病流行率和治疗结果。

方法

对 2007 年 1 月至 2012 年 12 月期间在吉朗大学医院难民健康诊所就诊的患者进行回顾性分析。

结果

在六年期间,有 291 名难民患者在该诊所就诊。潜伏性结核感染(LTBI)(54.6%)、维生素缺乏症(15.8%)、乙型肝炎(11%)和血吸虫病(11%)是最常见的诊断。不到三分之二的患者完成了 LTBI 治疗;35.4%的患者按时参加了所有预约的诊所就诊。

讨论

2007 年 1 月至 2012 年 12 月期间,吉朗大学医院(UHG)难民健康诊所转诊的难民患者中,LTBI、维生素缺乏症、寄生虫感染和乙型肝炎是最常见的诊断。全科医生在难民的护理中起着重要作用,在必要时指导向专科服务转诊,并认识到就诊和治疗完成情况不佳的潜在影响。

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