In line with the 2030 Agenda for Sustainable Development (Sustainable Development Goal n. 3, Target 3.3) the European Union financed the action entitled “early detection and integrated management of tuberculosis in Europe: E-DETECT TB”. Within the E-DETECT TB project, we conducted a retrospective cohort analysis of active TB and latent tuberculosis infection (LTBI) screening among consecutive asylum seekers resettled in Brescia, Italy in 2015 and 2016. Of 2,904 asylum seekers 2,567 (88.4%) were evaluated for TB, 62 (2.4 %) were positive at symptoms screening, 27 (43.6%) had follow-up investigations and four had TB (28.6% of prevalent TB cases). Active TB screening yield was 155/100,000 persons. TB prevalence and incidence rates were 545 / 100,000 persons and 220 / 100,000 individuals / person-years respectively. The prevalence of LTBI was 36.6% (843/2,303). Of 843 individuals with a positive TST, 430 (51.0%) did not complete evaluation procedures. Arrival during high influx period and originating from Africa continent were factors negatively associated to the completion of LTBI screening. Symptom-based screening performed poorly for TB detection. LTBI screening and treatment uptake losses were mainly attributable to the defragmentation of health care services. We are currently evaluating an electronic-health (e-Heath) device, a mobile application to record demographic and clinical data during consultations (named EDETECT-TB App). Rationale is that the data sharing among health care-services and clinicians involved in screening activities could significantly reduce losses of both patients and clinical data.
Addressing tuberculosis in vulnerable populations in Europe: the E-Detect-TB project and its activities in Brescia
Capone S;El Hamad I;Gulletta M;Caligaris S;Castelli F;Matteelli A
2019-01-01
Abstract
In line with the 2030 Agenda for Sustainable Development (Sustainable Development Goal n. 3, Target 3.3) the European Union financed the action entitled “early detection and integrated management of tuberculosis in Europe: E-DETECT TB”. Within the E-DETECT TB project, we conducted a retrospective cohort analysis of active TB and latent tuberculosis infection (LTBI) screening among consecutive asylum seekers resettled in Brescia, Italy in 2015 and 2016. Of 2,904 asylum seekers 2,567 (88.4%) were evaluated for TB, 62 (2.4 %) were positive at symptoms screening, 27 (43.6%) had follow-up investigations and four had TB (28.6% of prevalent TB cases). Active TB screening yield was 155/100,000 persons. TB prevalence and incidence rates were 545 / 100,000 persons and 220 / 100,000 individuals / person-years respectively. The prevalence of LTBI was 36.6% (843/2,303). Of 843 individuals with a positive TST, 430 (51.0%) did not complete evaluation procedures. Arrival during high influx period and originating from Africa continent were factors negatively associated to the completion of LTBI screening. Symptom-based screening performed poorly for TB detection. LTBI screening and treatment uptake losses were mainly attributable to the defragmentation of health care services. We are currently evaluating an electronic-health (e-Heath) device, a mobile application to record demographic and clinical data during consultations (named EDETECT-TB App). Rationale is that the data sharing among health care-services and clinicians involved in screening activities could significantly reduce losses of both patients and clinical data.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
