Postarrival tuberculosis screening of high-risk immigrants at a local health department

Research output: Contribution to journalArticle

Abstract

Objectives. We sought to characterize postimmigration tuberculosis (TB) care for Class B immigrants and refugees at the Baltimore City Health Department TB program (BCHD), and to determine the proportion of immigrants with active TB or latent TB infection (LTBI) in this high-risk population. Methods. We conducted a retrospective chart review of Class B immigrants and refugees who reported to the BCHD for postimmigration TB evaluation from 2010 to 2012. Results. We reviewed the clinical records of 153 Class B immigrants; 4% were diagnosed with active TB and 53% were diagnosed with LTBI. Fifty percent of active TB cases were culture positive, and 67% were asymptomatic; 100% received and completed active TB therapy at the BCHD. Among those diagnosed with LTBI, 87% initiated LTBI therapy and 91% completed treatment. Conclusions. The high prevalence of active TB and LTBI found among Class B immigrants underscore the importance for postarrival TB screening. The absence of reported symptoms among the majority of active cases identified during this study suggest that reliance on symptom-based screening protocols to prompt sputa testing may be inadequate for identifying active TB among this high-risk group.

Original languageEnglish (US)
Pages (from-to)1432-1438
Number of pages7
JournalAmerican Journal of Public Health
Volume105
Issue number7
DOIs
StatePublished - Jul 1 2015

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Tuberculosis
Health
Baltimore
Latent Tuberculosis
Refugees
Infection
Sputum
Therapeutics
Population

ASJC Scopus subject areas

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

Cite this

Postarrival tuberculosis screening of high-risk immigrants at a local health department. / Nuzzo, Jennifer; Golub, Jonathan E; Chaulk, Patrick; Shah, Maunank.

In: American Journal of Public Health, Vol. 105, No. 7, 01.07.2015, p. 1432-1438.

Research output: Contribution to journalArticle

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abstract = "Objectives. We sought to characterize postimmigration tuberculosis (TB) care for Class B immigrants and refugees at the Baltimore City Health Department TB program (BCHD), and to determine the proportion of immigrants with active TB or latent TB infection (LTBI) in this high-risk population. Methods. We conducted a retrospective chart review of Class B immigrants and refugees who reported to the BCHD for postimmigration TB evaluation from 2010 to 2012. Results. We reviewed the clinical records of 153 Class B immigrants; 4{\%} were diagnosed with active TB and 53{\%} were diagnosed with LTBI. Fifty percent of active TB cases were culture positive, and 67{\%} were asymptomatic; 100{\%} received and completed active TB therapy at the BCHD. Among those diagnosed with LTBI, 87{\%} initiated LTBI therapy and 91{\%} completed treatment. Conclusions. The high prevalence of active TB and LTBI found among Class B immigrants underscore the importance for postarrival TB screening. The absence of reported symptoms among the majority of active cases identified during this study suggest that reliance on symptom-based screening protocols to prompt sputa testing may be inadequate for identifying active TB among this high-risk group.",
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