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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Euro+Surveill
2018 ; 23
(11
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Find and treat or find and lose? Tuberculosis treatment outcomes among screened
newly arrived asylum seekers in Germany 2002 to 2014
#MMPMID29560856
Kuehne A
; Hauer B
; Brodhun B
; Haas W
; Fiebig L
Euro Surveill
2018[Mar]; 23
(11
): ä PMID29560856
show ga
BackgroundGermany has a low tuberculosis (TB) incidence. A relevant and
increasing proportion of TB cases is diagnosed among asylum seekers upon
screening. Aim: We aimed to assess whether cases identified by screening asylum
seekers had equally successful and completely reported treatment outcomes as
cases diagnosed by passive case finding and contact tracing in the general
population. Methods: We analysed characteristics and treatment outcomes of
pulmonary TB cases notified in Germany between 2002 and 2014, stratified by mode
of case finding. We performed three multivariable analyses with different
dependent variables: Model A: successful vs all other outcomes, Model B:
successful vs documented non-successful clinical outcome and Model C: known
outcome vs lost to follow-up. Results: TB treatment success was highest among
cases identified by contact tracing (87%; 3,139/3,591), followed by passive case
finding (74%; 28,804/39,019) and by screening asylum seekers (60%; 884/1,474).
Cases identified by screening asylum seekers had 2.4 times higher odds of not
having a successful treatment outcome as opposed to all other outcomes (A), 1.4
times higher odds of not having a successful treatment outcome as opposed to
known non-successful outcomes (B) and 2.3 times higher odds of loss to follow-up
(C) than cases identified by passive case finding. Conclusion: Screened asylum
seekers had poorer treatment outcomes and were more often lost to follow-up.
Linking patients to treatment facilities and investigating potential barriers to
treatment completion are needed to secure screening benefits for asylum seekers
and communities.
|Adolescent
[MESH]
|Adult
[MESH]
|Africa/ethnology
[MESH]
|Aged
[MESH]
|Antitubercular Agents/administration & dosage/*therapeutic use
[MESH]
|Asia/ethnology
[MESH]
|Child
[MESH]
|Communicable Disease Control
[MESH]
|Communicable Diseases/*epidemiology
[MESH]
|Contact Tracing
[MESH]
|Emigration and Immigration/*statistics & numerical data
[MESH]