Evidence map›Paper›PMID 32126293›Full record

ArticleTravel medicine and infectious disease

Delivering multi-disease screening to migrants for latent TB and blood-borne viruses in an emergency department setting: A feasibility study.

Sally Hargreaves, Laura B Nellums, Catherine Johnson, Jacob Goldberg, Panagiotis Pantelidis, Asif Rahman, Jon S Friedland FMedSci

Open access · hybridAbstract read
In one paragraph

Article in Travel medicine and infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sally HargreavesInstitute for Infection & Immunity, St. George's, University of London, United Kingdom. Electronic address: s.hargreaves@sgul.ac.uk.
Laura B NellumsInstitute for Infection & Immunity, St. George's, University of London, United Kingdom; Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
Catherine JohnsonSection of Infectious Diseases & Immunity, Imperial College London, United Kingdom.
Jacob GoldbergSection of Infectious Diseases & Immunity, Imperial College London, United Kingdom.
Panagiotis PantelidisImperial College Healthcare NHS Trust, London, United Kingdom.
Asif RahmanImperial College Healthcare NHS Trust, London, United Kingdom.
Jon S Friedland FMedSciInstitute for Infection & Immunity, St. George's, University of London, United Kingdom.
Imperial College Healthcare NHS Trust · GBImperial College London · GBSt George's, University of London · GBUniversity of Nottingham · GB

Funding

Medical Research Council MR/T046732/1
6 · The paper itself

Abstract

backgroundScreening for latent tuberculosis infection (LTBI) in migrants is important for elimination of tuberculosis in low-incidence countries, alongside the need to detect blood-borne infections to align with new guidelines on migrant screening for multiple infections in European countries. However, feasibility needs to be better understood.

methodsWe did a feasibility study to test an innovative screening model offering combined testing for LTBI (QuantiFERON), HIV, hepatitis B/C in a UK emergency department, with two year follow-up.

results96 economic migrants, asylum seekers and refugees from 43 countries were screened (46 [47.9%] women; mean age 35.2 years [SD 11.7; range 18-73]; mean time in the UK 4.8 years [SD 3.2; range 0-10]). 14 migrants (14.6%) tested positive for LTBI alongside HIV [1], hepatitis B [2], and hepatitis C [1] Of migrants with LTBI, 5 (35.7%) were successfully engaged in treatment. 74 (77.1%) migrants reported no previous screening since migrating to the UK.

conclusionMulti-disease screening in this setting is feasible and merits being further tested in larger-scale studies. However, greater emphasis must be placed on ensuring successful treatment outcomes. We identified major gaps in current screening provision; most migrants had been offered no prior screening despite several years since migration, which holds relevance to policy and practice in the UK and other European countries.

Indexed as

Latent TuberculosisRefugeesTransients and MigrantsVirusesAdolescentAdultAgedEmergency Service, HospitalEuropeFeasibility StudiesFemaleHumansMaleMass ScreeningMiddle AgedYoung AdultEuropeHealth-service deliveryHepatitisHIVLatent TBLTBIMigrantMulti-disease screening

Identifiers

PMID32126293
PMCPMC7493708
OpenAlexW3008789553

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.