The role of entry screening in case finding of tuberculosis among asylum seekers in Norway

BMC Public Health

Research Article

Sigurd L Steinshamn¹  Ingunn Harstad²  Geir W Jacobsen²  Anne-Sofie Helvik²  Helge Garåsen³  Saeed Vahedi⁴  Brita A Winje⁵  Einar Heldal⁵ 

[1] Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, NO-7491, Trondheim, Norway;Department of Pulmonary Medicine, St. Olavs Hospital, Trondheim University Hospital, NO-7006, Trondheim, Norway;Department of Public Health and General Practice, Norwegian University of Science and Technology, MTFS, NO-7491, Trondheim, Norway;Department of Public Health and General Practice, Norwegian University of Science and Technology, MTFS, NO-7491, Trondheim, Norway;Department of Health and Social Welfare, City of Trondheim, NO-7004, Trondheim, Norway;Department of Pulmonary Medicine, Ullevål University Hospital, NO-0407, Oslo, Norway;Norwegian Institute of Public Health, PO box 4404, NO-0403, NydalenOslo, Norway;

关键词: Tuberculosis;    Screening Programme;    Asylum Seeker;    National Reception;    Mantoux Test;   

DOI  :  10.1186/1471-2458-10-670

 received in 2010-02-19, accepted in 2010-11-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundMost new cases of active tuberculosis in Norway are presently caused by imported strains and not transmission within the country. Screening for tuberculosis with a Mantoux test of everybody and a chest X-ray of those above 15 years of age is compulsory on arrival for asylum seekers.We aimed to assess the effectiveness of entry screening of a cohort of asylum seekers. Cases detected by screening were compared with cases detected later. Further we have characterized cases with active tuberculosis.MethodsAll asylum seekers who arrived at the National Reception Centre between January 2005 - June 2006 with an abnormal chest X-ray or a Mantoux test ≥ 6 mm were included in the study and followed through the health care system. They were matched with the National Tuberculosis Register by the end of May 2008.Cases reported within two months after arrival were defined as being detected by screening.ResultsOf 4643 eligible asylum seekers, 2237 were included in the study. Altogether 2077 persons had a Mantoux ≥ 6 mm and 314 had an abnormal chest X-ray. Of 28 cases with tuberculosis, 15 were detected by screening, and 13 at 4-27 months after arrival. Abnormal X-rays on arrival were more prevalent among those detected by screening. Female gender and Somalian origin increased the risk for active TB.ConclusionIn spite of an imperfect follow-up of screening results, a reasonable number of TB cases was identified by the programme, with a predominance of pulmonary TB.

【 授权许可】

CC BY   
© Harstad et al; licensee BioMed Central Ltd. 2010