Screening and treatment of immigrants and refugees to Canada for tuberculosis: Implications of the experience of Canada and other industrialized countries
Identifieur interne : 001673 ( Ncbi/Checkpoint ); précédent : 001672; suivant : 001674Screening and treatment of immigrants and refugees to Canada for tuberculosis: Implications of the experience of Canada and other industrialized countries
Auteurs : Roger E. Thomas ; Brian GushulakSource :
- The Canadian Journal of Infectious Diseases [ 1180-2332 ] ; 1995.
Abstract
To assess the incidence of tuberculosis in immigrants and refugees in Canada and other industrialized countries; the effectiveness of the screening process; the incidence of drug resistance; recommendations for prophylaxis and therapy; and indications for and effectiveness of directly observed therapy.
All studies reporting data on incidence, the outcomes of screening, drug resistance, therapy and directly observed therapy were selected.
Data synthesis led to the conclusions that immigrants and refugees to Canada have five times the nonimmigrant and non-Aboriginal rate of tuberculosis; that screening programs discover new cases of tuberculosis on and after arrival and that up to 20% of those scheduled to attend a tuberculosis clinic after arrival may never attend; that drug resistance is widespread in countries from which Canada receives immigrants; and that directly observed therapy for active cases can result in 100% conversion rates.
Url:
PubMed: 22514407
PubMed Central: 3327927
Affiliations:
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PMC:3327927Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Screening and treatment of immigrants and refugees to Canada for tuberculosis: Implications of the experience of Canada and other industrialized countries</title>
<author><name sortKey="Thomas, Roger E" sort="Thomas, Roger E" uniqKey="Thomas R" first="Roger E" last="Thomas">Roger E. Thomas</name>
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<author><name sortKey="Gushulak, Brian" sort="Gushulak, Brian" uniqKey="Gushulak B" first="Brian" last="Gushulak">Brian Gushulak</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Screening and treatment of immigrants and refugees to Canada for tuberculosis: Implications of the experience of Canada and other industrialized countries</title>
<author><name sortKey="Thomas, Roger E" sort="Thomas, Roger E" uniqKey="Thomas R" first="Roger E" last="Thomas">Roger E. Thomas</name>
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<author><name sortKey="Gushulak, Brian" sort="Gushulak, Brian" uniqKey="Gushulak B" first="Brian" last="Gushulak">Brian Gushulak</name>
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<series><title level="j">The Canadian Journal of Infectious Diseases</title>
<idno type="ISSN">1180-2332</idno>
<imprint><date when="1995">1995</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective:</title>
<p>To assess the incidence of tuberculosis in immigrants and refugees in Canada and other industrialized countries; the effectiveness of the screening process; the incidence of drug resistance; recommendations for prophylaxis and therapy; and indications for and effectiveness of directly observed therapy.</p>
</sec>
<sec><title>Data Sources:</title>
<p><sc>medline</sc>
search of literature published from 1985 to 1995 with the key words ‘tuberculosis’, ‘Canada’, ‘screening’, ‘drug resistance’, ‘drug resistance, multiple’, ‘immigration and emigration’, and the title words ‘directly observed therapy’.</p>
</sec>
<sec><title>Study Selection:</title>
<p>All studies reporting data on incidence, the outcomes of screening, drug resistance, therapy and directly observed therapy were selected.</p>
</sec>
<sec><title>Data Synthesis and Conclusions:</title>
<p>Data synthesis led to the conclusions that immigrants and refugees to Canada have five times the nonimmigrant and non-Aboriginal rate of tuberculosis; that screening programs discover new cases of tuberculosis on and after arrival and that up to 20% of those scheduled to attend a tuberculosis clinic after arrival may never attend; that drug resistance is widespread in countries from which Canada receives immigrants; and that directly observed therapy for active cases can result in 100% conversion rates.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Gushulak, Brian" sort="Gushulak, Brian" uniqKey="Gushulak B" first="Brian" last="Gushulak">Brian Gushulak</name>
<name sortKey="Thomas, Roger E" sort="Thomas, Roger E" uniqKey="Thomas R" first="Roger E" last="Thomas">Roger E. Thomas</name>
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</tree>
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</record>
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