title: [Tuberculosis and immigration].
abstract: The incidence of tuberculosis worldwide is declining. However, in Western countries this decline is slower due to the impact of immigration. Tuberculosis in the immigrant population is related to health status in the country of origin and with overcrowding and poverty conditions in the host country. Immigrants with tuberculosis are younger, have a higher prevalence of extrapulmonary forms, greater proportion of drug resistance and higher treatment default rates than those of natives. New molecular techniques not only reduce diagnostic delay time but also allow the rapid identification of resistances and improve knowledge of transmission patterns. It is necessary to implement measures to improve treatment compliance in this population group like facilitating access to health card, the use of fixed-dose combination drugs, the participation of cultural mediators and community health workers and gratuity of drugs.
authors: Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España; Centro de Estudio de las Migraciones y Relaciones Interculturales (CEMyRI). Universidad de Almería, Almería, España. Electronic address: joaquinsalascoronas@yahoo.es.
authors: Joaquín
authors: J
authors: Salas-Coronas
authors: Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España.
authors: M Cruz
authors: MC
authors: Rogado-González
authors: Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España.
authors: Ana Belén
authors: AB
authors: Lozano-Serrano
authors: Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España; Centro de Estudio de las Migraciones y Relaciones Interculturales (CEMyRI). Universidad de Almería, Almería, España.
authors: M Teresa
authors: MT
authors: Cabezas-Fernández
mesh_terms: D057210:Delayed Diagnosis; D054242:Emigrants and Immigrants; D004641:Emigration and Immigration; D006801:Humans; D015994:Incidence; D014376:Tuberculosis / Q000453:epidemiology*
keywords: Immigrants; Immigration; Inmigración; Inmigrantes; Tuberculosis