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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 J+Immigr+Minor+Health
2016 ; 18
(5
): 966-970
Nephropedia Template TP
gab.com Text
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English Wikipedia
Latent Tuberculosis Infection Among Immigrant and Refugee Children Arriving in
the United States: 2010
#MMPMID26364054
Taylor EM
; Painter J
; Posey DL
; Zhou W
; Shetty S
J Immigr Minor Health
2016[Oct]; 18
(5
): 966-970
PMID26364054
show ga
Immigrants and refugees age 2-14 years entering the United States from countries
with estimated tuberculosis (TB) incidence rate ?20 per 100,000 population are
screened for TB. Children with TB disease are treated before US arrival. Children
with positive tuberculin skin tests (TST), but negative TB evaluation during
their pre-immigration examination, are classified with latent TB infection (LTBI)
and are recommended for re-evaluation post-arrival. We examined post-immigration
TB evaluation and therapy for children arriving with LTBI. We reviewed medical
exam data from immigrant children with medical conditions and all refugee
children arriving during 2010. Medical examination data were available for 67,334
children. Of these, 8231 (12 %) had LTBI pre-immigration; 5749 (70 %) were
re-evaluated for TB post-immigration, and 64 % were retested by TST or IGRA. The
pre-immigration LTBI diagnosis was changed for 38 % when retested by TST and for
71 % retested by IGRA. Estimated LTBI therapy initiation and completion rates
were 68 and 12 %. In this population, testing with IGRA may limit the number of
children targeted for therapy. Increased pre-immigration TB screening with
post-immigration follow-up evaluation leading to completion of LTBI therapy
should be encouraged to prevent TB reactivation.