Wythenshawe Hospital, Manchester, UK
Manchester Royal Infirmary, Manchester, UK.
Clin Med (Lond). 2023 Mar;23(2):164-169. doi: 10.7861/clinmed.2022-0327.
We describe an active and latent tuberculosis (TB) screening programme undertaken in Manchester, UK in response to the arrival of a cohort of refugees from Afghanistan. In total, 217 adults and 347 children were offered screening, which involved a symptom questionnaire, Mantoux test or interferon gamma release assay, blood-borne virus screening and a chest X-ray in participants over the age of 11. We found a latent TB infection (LTBI) rate of 15% in adults and 1.5% in children, which is lower than global LTBI estimates. One case of active TB was detected. Screening was undertaken in the hotels where participants were temporarily housed, leading to high participant engagement levels. Attendance rates were almost doubled compared with a previous hospital-based screening programme. Hotel-based screening for TB presented several challenges, including transfer of information and results to secondary care. Understanding these challenges and learning from the programme has helped us refine our screening protocol to optimise migrant TB screening in Manchester in the future.
我们描述了在英国曼彻斯特针对阿富汗难民潮而开展的一项活动性和潜伏性结核病（TB）筛查计划。共有 217 名成年人和 347 名儿童接受了筛查，内容包括症状问卷、结核菌素试验或干扰素释放试验、血源性病毒筛查以及 11 岁以上参与者的胸部 X 光检查。我们发现成年人的潜伏性 TB 感染（LTBI）率为 15%，儿童为 1.5%，这低于全球 LTBI 估计值。发现了 1 例活动性 TB。筛查是在参与者临时居住的酒店中进行的，这导致了参与者的高参与度。与之前的医院筛查计划相比，参与率几乎翻了一番。基于酒店的 TB 筛查带来了一些挑战，包括将信息和结果转移到二级护理。了解这些挑战并从该计划中吸取经验教训，有助于我们完善筛查方案，以优化未来曼彻斯特的移民 TB 筛查。
