TY - JOUR T1 -寻求庇护者的潜伏结核病筛查和治疗:混合方法研究摩根富林明-欧洲呼吸杂志》乔和J - 10.1183/13993003.00861 -2019欧元六世- 54 - 5 SP - 1900861 AU Spruijt增加非盟- Tesfay海丽,Dawit盟——Suurmond珍妮AU - van den霍夫,苏珊盟——Koenders河南AU - Kouw,彼得•AU - van Noort Natascha盟——Toumanian苏菲盟——Cobelens弗兰克盟——Goosen需要在寻求庇护者中实施潜伏性结核病感染(LTBI)筛查和治疗的条件证据，以告知结核病(TB)控制政策。我们使用混合方法来评估荷兰寻求庇护者LTBI筛查和治疗方案的实施情况。方法我们为居住在寻求庇护中心的12岁以上的寻求庇护者提供自愿LTBI筛查，这些寻求庇护者来自结核病发病率为每万人200例的国家。我们计算LTBI筛查和治疗级联覆盖率，并使用稳健方差估计用泊松回归评估相关因素。我们采访了结核病护理工作人员(7次小组访谈)和厄立特里亚客户(21次小组访谈和21次个人访谈)，以确定项目加强者和障碍。结果我们筛选了719名(1136名患者中的63%)LTBI患者。178例(25%)患者诊断为LTBI;149人(84%)开始LTBI治疗，其中129人(87%)完成治疗。亲自进行结核病和LTBI教育、使用专业口译人员以及与合作组织合作是LTBI筛查吸收的促进因素。 Demand-driven LTBI treatment support by TB nurses enhanced treatment completion. Factors complicating LTBI screening and treatment were having to travel to public health services, language barriers and moving from asylum seeker centres to the community during treatment.Conclusion LTBI screening and treatment of asylum seekers is feasible and effective when high quality of care is provided, including culture-sensitive TB education throughout the care cascade. Additionally, collaboration with partner organisations, such as agencies responsible for reception and support of asylum seekers, should be in place.LTBI screening and treatment among asylum seekers is feasible and effective when high quality of care is provided, including special attention for culture-sensitive education about TB and LTBI and collaboration with partner organisations http://bit.ly/2Lf6Y1I ER -