Social and Clinical Characteristics of Immigrants with Tuberculosis in South Korea.
10.3349/ymj.2017.58.3.592
- Author:
Gee Ho MIN
1
;
Young KIM
;
Jong Seok LEE
;
Jee Youn OH
;
Gyu Young HUR
;
Young Seok LEE
;
Kyung Hoon MIN
;
Sung Yong LEE
;
Je Hyeong KIM
;
Chol SHIN
;
Seung Heon LEE
Author Information
1. Division of Pulmonary, Sleep, and Critical Care Medicine, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea. lee-sh@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Immigrants;
tuberculosis;
microbial sensitivity tests;
medication adherence;
mass screening
- MeSH:
Adult;
Drug Resistance;
Emigrants and Immigrants*;
Emigration and Immigration;
Humans;
Infection Control;
Korea*;
Lost to Follow-Up;
Mass Screening;
Medication Adherence;
Microbial Sensitivity Tests;
Retrospective Studies;
Tuberculosis*
- From:Yonsei Medical Journal
2017;58(3):592-597
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To determine the social and clinical characteristics of immigrants with tuberculosis (TB) in South Korea. MATERIALS AND METHODS: 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.
