Tuberculosis care among refugees arriving in Europe: A ERS/WHO Europe Region survey of current practices

Masoud Dara, Ivan Solovic, Giovanni Sotgiu, L. D'Ambrosio, Rosella Centis, Richard Tran, Delia Goletti, Raquel Duarte, Stefano Aliberti, Fernando Maria De Benedictis, G. Bothamley, T. Schaberg, Ibrahim Abubakar, Vitor Teixeira, Brian Ward, Christina Gratziou, Giovanni Battista Migliori

Research output: Contribution to journalArticlepeer-review

Abstract

No evidence exists on tuberculosis (TB) and latent TB infection (LTBI) management policies among refugees in European countries. A questionnaire investigating screening and management practices among refugees was sent to 38 national TB programme representatives of low and intermediate TB incidence European countries/ territories of the WHO European Region. Out of 36 responding countries, 31 (86.1%) reported screening for active TB, 19 for LTBI, and eight (22.2%) reporting outcomes of LTBI treatment. Screening for TB is based on algorithms including different combinations of symptom-based questionnaires, bacteriology and chest radiography and LTBI screening on different combinations of tuberculin skin test and interferon-? release assays. In 22 (61.1%) countries, TB and LTBI screening are performed in refugee centres. In 22 (61.1%) countries, TB services are organised in collaboration with the private sector. 27 (75%) countries answered that screening for TB is performed as per national and international guidelines, while 19 (52.7%) gave the same answer with regards to LTBI screening. Infection control measures are inadequate in several of the countries surveyed. There is need for improved coordination of TB screening in Europe to implement the End TB Strategy and achieve TB elimination.

Original languageEnglish
Pages (from-to)808-817
Number of pages10
JournalEuropean Respiratory Journal
Volume48
Issue number3
DOIs
Publication statusPublished - Sep 1 2016

ASJC Scopus subject areas

  • Medicine(all)
  • Pulmonary and Respiratory Medicine

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