Patient navigator’s role in latent tuberculosis infection at a New York City Health Department Chest Clinic

IF 1.9 Q3 INFECTIOUS DISEASES

Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Pub Date : 2024-04-27 DOI:10.1016/j.jctube.2024.100446

E. Barroso , T. Mark , R. Acevedo , S. Rao , H.T. Jordan , J. Burzynski , W. Remegio , E. Ea , L. Compas

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引用次数: 0

Abstract

Background

Philippines is one of the top ten countries of birth among individuals with tuberculosis in New York City (NYC). The NYC Health Department (HD) screened Filipino-born New Yorkers for latent TB infection (LTBI), but few of those tested positive completed evaluation and treatment.

Objective

To increase the proportion of Filipinos with a positive QuantiFeron-TB Gold Plus (QFT-Plus) complete LTBI evaluation and treatment.

Methods

Nine community-based LTBI screening events were conducted during September-December 2021. Patients with positive QFT-Plus results were offered no-cost LTBI evaluation and treatment at HD Chest Clinic. The HD engaged culturally- and linguistically-competent Filipino patient navigators (PN) to facilitate LTBI evaluation and treatment.

Results

Of 77 Filipinos screened, 17 (22%) tested positive. Fourteen (82%) were evaluated for LTBI; eight of the 14 (57%) completed LTBI treatment.

Conclusions

Pairing patients with culturally- and linguistically- competent Filipino PNs contributed to an increase in the proportion of Filipinos with a positive QFT-Plus who completed LTBI evaluation and treatment. TB prevention programs may wish to consider PNs in LTBI patient care.

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患者导航员在纽约市卫生局胸科门诊潜伏肺结核感染中的作用

背景在纽约市（NYC）的结核病患者中，菲律宾是十大出生国之一。纽约市卫生局（HD）对在菲律宾出生的纽约人进行了潜伏肺结核感染（LTBI）筛查，但检测结果呈阳性的人中很少有完成评估和治疗的。QFT-Plus 检测结果呈阳性的患者可在 HD 胸科门诊接受免费的 LTBI 评估和治疗。房屋署聘请了具有文化和语言能力的菲律宾病人导航员（PN），以促进对LTBI的评估和治疗。结果在接受筛查的77名菲律宾人中，17人（22%）检测呈阳性。结论将患者与具有文化和语言能力的菲律宾病人导航员配对，有助于提高 QFT-Plus 阳性的菲律宾人中完成 LTBI 评估和治疗的比例。肺结核预防项目不妨考虑在LTBI患者护理中使用PN。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Medicine-Pulmonary and Respiratory Medicine

CiteScore

4.00

自引率

5.00%

发文量

审稿时长

30 weeks

期刊介绍： Journal of Clinical Tuberculosis and Mycobacterial Diseases aims to provide a forum for clinically relevant articles on all aspects of tuberculosis and other mycobacterial infections, including (but not limited to) epidemiology, clinical investigation, transmission, diagnosis, treatment, drug-resistance and public policy, and encourages the submission of clinical studies, thematic reviews and case reports. Journal of Clinical Tuberculosis and Mycobacterial Diseases is an Open Access publication.