Social and Clinical Characteristics of Immigrants with Tuberculosis in South Korea
Yonsei Medical Journal
;
: 592-597, 2017.
Article
in English
| WPRIM
| ID: wpr-188810
ABSTRACT
PURPOSE:
To determine the social and clinical characteristics of immigrants with tuberculosis (TB) in South Korea. MATERIALS ANDMETHODS:
The registered adult TB patients who were diagnosed and treated in Korea Medical Centers from January 2013 to December 2015 were analyzed retrospectively. A total of 105 immigrants with TB were compared to 932 native Korean TB patients.RESULTS:
Among these 105 immigrants with TB, 86 (82%) were Korean-Chinese. The rate of drug-susceptible TB were lower in the immigrants group than in the native Korean group [odds ratio (OR) 0.46; 95% confidence interval (CI) 0.22–0.96, p=0.035]. Cure rate was higher in the immigrant group than in the native Korean group (OR 2.03; 95% CI 1.26–3.28, p=0.003). Treatment completion rate was lower in the immigrant group than in the native Korean group (OR 0.50; 95% CI 0.33–0.74, p=0.001). However, treatment success rate showed no significant difference between two groups (p=0.141). Lost to follow up (default) rate was higher in the immigrant group than in the native Korean group after adjusting for age and drug resistance (OR 3.61; 95% CI 1.36–9.61, p=0.010). There was no difference between defaulter and non-defaulter in clinical characteristics or types of visa among these immigrants (null p value). However, 43 TB patients with recent immigration were diagnosed as TB even though they had been screened as normal at the time of immigration.CONCLUSION:
Endeavor to reduce the default rate of immigrants with TB and reinforce TB screening during the immigration process must be performed for TB infection control in South Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tuberculosis
/
Drug Resistance
/
Microbial Sensitivity Tests
/
Mass Screening
/
Retrospective Studies
/
Infection Control
/
Emigration and Immigration
/
Emigrants and Immigrants
/
Medication Adherence
/
Lost to Follow-Up
Type of study:
Observational study
/
Prognostic study
/
Screening study
Limits:
Adult
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Yonsei Medical Journal
Year:
2017
Type:
Article
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