High rate of completion of preventive therapy for latent tuberculosis infection among asylum seekers in a Swiss Canton
High rate of completion of preventive therapy for latent tuberculosis infection among asylum seekers in a Swiss Canton
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BACKGROUND: Preventive treatment may avoid future cases of tuberculosis among asylum seekers.The effectiveness of preventive treatment depends in large part on treatment completion.METHODS: In a prospective cohort study, asylum seekers of two of the Swiss Canton Vaud migration centres were screened with the Interferon Gamma Release Assay (IGRA).Those with a positive IGRA were referred for medical examination.
Individuals coffret 6 mini princesse disney with active or past tuberculosis were excluded.Preventive treatment was offered to all participants with positive IGRA but without active tuberculosis.The adherence was assessed during monthly follow-up.RESULTS: From a population of 393 adult migrants, 98 (24.
9%) had a positive IGRA.Eleven did not attend the initial medical assessment.Of the 87 examined, eight presented with pulmonary disease (five of them received a full course of antituberculous therapy), two had a history of prior tuberculosis treatment and two had contraindications to treatment.Preventive treatment weboost coax cable was offered to 75 individuals (4 months rifampicin in 74 and 9 months isoniazid in one), of whom 60 (80%) completed the treatment.
CONCLUSIONS: The vulnerability and the volatility of this population make screening and observance of treatment difficult.It seems possible to obtain a high rate of completion using a short course of treatment in a closely monitored population living in stable housing conditions.