[德国乌克兰难民中的结核病--筛查和报告数据比较]。

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Vanessa Igbokwe, Ralf Otto-Knapp, Cornelia Breuer, Martin Priwitzer, Torsten Bauer, Brit Häcker
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引用次数: 0

摘要

自乌克兰战争爆发至 2022 年 11 月,近 100 万人到德国避难。尽管乌克兰努力减少结核病(TB)病例,但 2020 年的结核病发病率仍居高不下,耐多药结核病的发病率也有所上升。由于诊断延误、治疗中断和传播风险增加,冲突和战争历来与结核病的传播有关。据世界卫生组织(WHO)估计,由于难民流动,欧盟地区的结核病病例将会增加。在德国,对公共住房中的个人进行胸部 X 射线检查或免疫学测试的筛查方法各不相同。DZK 在全国结核病工作组内进行的一项调查评估了乌克兰难民的结核病筛查方法和结果。在 26196 名 15 岁以上的人中,发现了 48 个结核病例,发病率高于预期。约 42% 的病例为耐多药结核病。筛查结果既不同于世界卫生组织的估计,也不同于 2022 年向罗伯特-科赫研究所(RKI)报告的结核病例。本文对这些数字进行了初步比较。不同的结果凸显了持续收集和分析数据的必要性,以便根据在德国的乌克兰难民中不断变化的结核病情况调整资源和干预措施,特别是考虑到持续不断的冲突和未来结核病病例增加的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Tuberculosis among Ukrainian Refugees in Germany - A Comparison of Screening and Reporting Data].

Since the onset of the war in Ukraine until November 2022, nearly 1 million people sought refuge in Germany. Despite efforts to reduce tuberculosis (TB) cases, Ukraine had a high TB incidence in 2020, with increased rates of multidrug-resistant TB. Conflict and war have historically been associated with TB spread due to delays in diagnosis, treatment interruptions, and increased transmission risks. The World Health Organization (WHO) estimated a rise in TB cases in the EU region due to refugee movements. In Germany, screening methods used in testing individuals in communal housing involving chest X-rays or immunological tests were variable. A survey conducted by the DZK within the nationwide TB working group evaluated TB screening methods and results for Ukrainian refugees. Out of 26,196 individuals aged over 15, 48 TB cases were detected, with a higher-than-expected incidence. About 42% of cases were multidrug-resistant TB. The screening findings differed from both the WHO's estimates as well as TB cases reported to the Robert Koch Institut (RKI) in 2022. A preliminary comparison of the numbers is presented here. The differing results emphasize the need for ongoing data collection and analysis to adapt resources and interventions to the evolving TB situation among Ukrainian refugees in Germany, especially considering the ongoing conflict and potential for increased TB cases in the future.

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来源期刊
Gesundheitswesen
Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
18.20%
发文量
308
期刊介绍: The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.
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