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Enferm Infecc Microbiol Clin. 2016 Apr;34(4):261-9. doi: 10.1016/j.eimc.2015.12.010. Epub 2016 Feb 3.

[Tuberculosis and immigration].

[Article in Spanish]

Author information

1
Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España; Centro de Estudio de las Migraciones y Relaciones Interculturales (CEMyRI). Universidad de Almería, Almería, España. Electronic address: joaquinsalascoronas@yahoo.es.
2
Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España.
3
Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España; Centro de Estudio de las Migraciones y Relaciones Interculturales (CEMyRI). Universidad de Almería, Almería, España.

Abstract

The incidence of tuberculosis worldwide is declining. However, in Western countries this decline is slower due to the impact of immigration. Tuberculosis in the immigrant population is related to health status in the country of origin and with overcrowding and poverty conditions in the host country. Immigrants with tuberculosis are younger, have a higher prevalence of extrapulmonary forms, greater proportion of drug resistance and higher treatment default rates than those of natives. New molecular techniques not only reduce diagnostic delay time but also allow the rapid identification of resistances and improve knowledge of transmission patterns. It is necessary to implement measures to improve treatment compliance in this population group like facilitating access to health card, the use of fixed-dose combination drugs, the participation of cultural mediators and community health workers and gratuity of drugs.

KEYWORDS:

Immigrants; Immigration; Inmigración; Inmigrantes; Tuberculosis

PMID:
26851978
DOI:
10.1016/j.eimc.2015.12.010
[Indexed for MEDLINE]

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