Evidence map›Paper›PMID 36668935›Full record

ArticleTropical medicine and infectious disease2022

Impact of Coronavirus Pandemic on Tuberculosis and Other Imported Diseases Screening among Migrant Minors in Spain.

Isabel Mellado-Sola, Paula Rodríguez-Molino, Elisa-Andrea Armas, Javier Nogueira López, Iker Falces-Romero, Cristina Calvo Rey, Carlos Grasa Lozano, María José Mellado, Milagros García López-Hortelano, Talía Sainz

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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  3. Prevalence ofLe infezioni in medicina · 2023
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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

10 authors at 2 institutions in 1 country.

Isabel Mellado-SolaGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.ORCID 0000-0001-7042-8561
Paula Rodríguez-MolinoGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.
Elisa-Andrea ArmasQuirón Salud San José, 28002 Madrid, Spain.
Javier Nogueira LópezGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.ORCID 0000-0002-7818-9144
Iker Falces-RomeroLa Paz Research Institute (IdiPAZ), 28029 Madrid, Spain.ORCID 0000-0001-5888-7706
Cristina Calvo ReyGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.
Carlos Grasa LozanoGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.
María José MelladoGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.
Milagros García López-HortelanoGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.
Talía SainzGeneral Pediatrics, Infectious and Tropical Diseases Department, Hospital La Paz, 28046 Madrid, Spain.ORCID 0000-0002-5301-0945
Hospital Universitario La Paz · ESHospital Universitario Quirónsalud Madrid · ES

Funding

Instituto de Salud Carlos III PI20/01490; CM21/ 00174
6 · The paper itself

Abstract

backgroundIn recent decades, the increase in population movements has turned the focus to imported diseases. The COVID-19 pandemic has negatively impacted the access to health care systems, especially in highly vulnerable populations. We address the effects of the pandemic on the health screening of migrant unaccompanied minors (UM) in Spain.

methodRetrospective cross-sectional study including UM screened for imported diseases with a unified protocol at a pediatric reference unit for tropical and infectious diseases in Madrid, Spain. We compared the pre-pandemic (2018-2019) and post-pandemic periods (2020-2021).

resultsA total of 192 minors were screened during the study period, with a drop in UM's referral to our center in the post-pandemic years (140 in 2018-2019 vs. 52 in 2020-2021). Out of 192, 161 (83.9%) were diagnosed with at least one medical condition. The mean age was 16.8 years (SD 0.8) and 96.9% were males. Most cases were referred for a health exam; only 38% of children were symptomatic. Eosinophilia was present in 20.8%. The most common diagnosis were latent tuberculosis infection (LTBI) (72.9%), schistosomiasis (15.1%), toxocariasis (4.9%) and strongyloidiasis (4.9%). The prevalence of LTBI did not vary significantly (69.3% vs. 82.7%,

conclusionsIn this series, the number of UM referred for health screening has dropped dramatically after the COVID pandemic, and two years after the beginning of the pandemic, access to care is still limited. Lost to follow-up rates are extremely high despite institutionalization. Specific resources, including multidisciplinary teams and accessible units are needed to improve diagnoses and linkage to care in this vulnerable population.

Indexed as

childrenCOVID pandemicimmunizationsparasitesscreeningtuberculosisunaccompanied minors

Identifiers

PMID36668935
PMCPMC9860880
OpenAlexW4313361062

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.