Department of Paediatrics & Child Health, Northwick Park Hospital, London North West University Healthcare NHS Trust, Middlesex, UK
Department of Paediatrics & Child Health, Northwick Park Hospital, London North West University Healthcare NHS Trust, Middlesex, UK.
Arch Dis Child. 2020 Jun;105(6):530-532. doi: 10.1136/archdischild-2019-318077. Epub 2020 Feb 24.
We aimed to evaluate a screening programme for infection in unaccompanied asylum seeking children and young people against national guidance and to described the rates of identified infection in the cohort. The audit was conducted by retrospective case note review of routinely collected, anonymised patient data from all UASC referred between January 2016 and December 2018 in two paediatric infectious diseases clinics.There were 252 individuals from 19 countries included in the study, of these 88% were male, and the median age was 17 years (range 11-18). Individuals from Afghanistan, Eritrea and Albania constituted the majority of those seen. Median time between arriving in the UK and infection screening was 6 months (IQR 4-10 months, data available on 197 UASC). There were 94% (238/252) of cases tested for tuberculosis (TB), of whom 23% (55/238) were positive, including three young people with TB disease. Of those tested for hepatitis B, 4.8% (10/210) were positive, 0.5% (1/121) were positive for hepatitis C and of 252 tested, none were positive for HIV. Of the 163 individuals who were tested for schistosomiasis, 27 were positive (16%).The majority of patients were appropriately tested for infections with a high rate of identification of treatable asymptomatic infection. Infections were of both individual and public health significance. Our findings of clinically significant rates of treatable infections in UASC highlight the importance of infection screening for all in this vulnerable patient group.
我们旨在评估一项针对无人陪伴寻求庇护的儿童和青少年的感染筛查计划，以对抗国家指导，并描述该队列中已确定的感染率。该审计通过回顾性病例记录审查，对 2016 年 1 月至 2018 年 12 月期间在两家儿科传染病诊所转诊的所有 UASC 患者的常规收集、匿名患者数据进行。该研究共纳入 252 名来自 19 个国家的个体，其中 88%为男性，中位数年龄为 17 岁（范围 11-18 岁）。来自阿富汗、厄立特里亚和阿尔巴尼亚的个体构成了大多数就诊者。从抵达英国到感染筛查的中位数时间为 6 个月（IQR 4-10 个月，可获得 197 名 UASC 的数据）。有 94%（238/252）的病例接受了结核病（TB）检测，其中 23%（55/238）呈阳性，包括 3 例患有结核病的年轻人。在接受乙型肝炎检测的 210 人中，4.8%（10/210）呈阳性，121 人中有 0.5%（1/121）呈阳性，252 人中有 0.5%（1/121）呈阳性，没有一人呈 HIV 阳性。在接受血吸虫病检测的 163 人中，有 27 人呈阳性（16%）。大多数患者接受了适当的感染检测，发现了大量可治疗的无症状感染。感染具有个体和公共卫生意义。我们在 UASC 中发现了大量具有治疗意义的可治疗感染，这凸显了对所有弱势患者群体进行感染筛查的重要性。
