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Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United.

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Presentation on theme: "Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United."— Presentation transcript:

1 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 The smear-based overseas TB screening algorithm. TB = tuberculosis. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

2 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 The culture-based overseas TB screening algorithm. IGRA = interferon-γ release assay; TB = tuberculosis; TST = tuberculin skin test; WHO = World Health Organization. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

3 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 Immigrants and refugees who were screened for TB overseas by the smear-based algorithm or the culture-based algorithm. TB = tuberculosis. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

4 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 Immigrants and refugees identified with class B1 or B2 TB by the smear-based algorithm and those identified with class B1 TB by the culture-based algorithm. TB = tuberculosis. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

5 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 TB cases diagnosed overseas among 1 561 460 immigrants and refugees who were screened by the culture-based algorithm. TB = tuberculosis. * 14 cases of TB were diagnosed in 2007: 2 (14.3%) cases of smear-positive/culture-positive TB, 1 (7.1%) case of smear-positive/culture-negative TB, 4 (28.6%) cases of smear-negative/culture-positive TB, and 7 (50.0%) cases of clinically diagnosed TB. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

6 Date of download: 7/10/2016 From: Effect of a Culture-Based Screening Algorithm on Tuberculosis Incidence in Immigrants and Refugees Bound for the United States: A Population-Based Cross-sectional Study Ann Intern Med. 2015;162(6):420-428. doi:10.7326/M14-2082 Comparison of reported TB cases among foreign-born persons within 1 y after arrival in the United States and smear-negative/culture-positive TB cases diagnosed overseas among immigrants and refugees by the culture-based algorithm. TB = tuberculosis. * Had the culture-based algorithm not been implemented, cases of smear-negative/culture-positive TB likely would have been imported to the United States and counted as reported cases among foreign-born persons within 1 y after arrival by the U.S. National Tuberculosis Surveillance System. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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