Tuberculosis case finding based on symptom screening among immigrants, refugees and asylum seekers in Rome

Monica Sañé Schepisi, Gina Gualano, Claudia Fellus, Nazario Bevilacqua, Marco Vecchi, Pierluca Piselli, Giuliana Battagin, Giulia Silvestrini, Andrea Attanasio, Alberto Vela, Giorgia Rocca, Alessandro Rinaldi, Pietro Benedetti, Salvatore Geraci, Francesco Nicola Lauria, Enrico Girardi

Research output: Contribution to journalArticle

Abstract

Background: In Italy the proportion of cases of tuberculosis in persons originating from high-prevalence countries has been increasing in the last decade. We designed a study to assess adherence to and yield of a tuberculosis screening programme based on symptom screening conducted at primary care centres for regular and irregular immigrants and refugees/asylum seekers. Methods. Presence of symptoms suggestive of active tuberculosis was investigated by verbal screening in migrants presenting for any medical condition to 3 free primary care centres in the province of Rome. Individuals reporting at least one symptom were referred to a tuberculosis clinic for diagnostic workup. Results: Among 2142 migrants enrolled, 254 (11.9%) reported at least one symptom suggestive of active tuberculosis and 176 were referred to the tuberculosis clinic. Of them, 80 (45.4%) did not present for diagnostic evaluation. Tuberculosis was diagnosed in 7 individuals representing 0.33% of those screened and 7.3% of those evaluated for tuberculosis. Conclusion: The overall yield of this intervention was in the range reported for other tuberculosis screening programmes for migrants, although we recorded an unsatisfactory adherence to diagnostic workup. Possible advantages of this intervention include low cost and reduced burden of medical procedures for the screened population. Further evaluation of this approach appears to be warranted.

Original languageEnglish
Article number872
JournalBMC Public Health
Volume13
Issue number1
DOIs
Publication statusPublished - 2013

Keywords

  • Access to care
  • Active case finding
  • Adherence to screening
  • Migrants
  • Tuberculosis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

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  • Cite this

    Sañé Schepisi, M., Gualano, G., Fellus, C., Bevilacqua, N., Vecchi, M., Piselli, P., Battagin, G., Silvestrini, G., Attanasio, A., Vela, A., Rocca, G., Rinaldi, A., Benedetti, P., Geraci, S., Lauria, F. N., & Girardi, E. (2013). Tuberculosis case finding based on symptom screening among immigrants, refugees and asylum seekers in Rome. BMC Public Health, 13(1), [872]. https://doi.org/10.1186/1471-2458-13-872