Multidrug-resistant tuberculosis treatment adherence in migrants: a systematic review and meta-analysis

BMC Medicine
L B NellumsJ S Friedland

Abstract

Multidrug-resistant tuberculosis (MDR-TB) is a growing concern in meeting global targets for TB control. In high-income low-TB-incidence countries, a disproportionate number of MDR-TB cases occur in migrant (foreign-born) populations, with concerns about low adherence rates in these patients compared to the host non-migrant population. Tackling MDR-TB in this context may, therefore, require unique approaches. We conducted a systematic review and meta-analysis to identify and synthesise data on MDR-TB treatment adherence in migrant patients to inform evidence-based strategies to improve care pathways and health outcomes in this group. This systematic review and meta-analysis was conducted in line with PRISMA guidelines (PROSPERO 42017070756). The databases Embase, MEDLINE, Global Health and PubMed were searched to 24 May 2017 for primary research reporting MDR-TB treatment adherence and outcomes in migrant populations, with no restrictions on dates or language. A meta-analysis was conducted using random-effects models. From 413 papers identified in the database search, 15 studies reporting on MDR-TB treatment outcomes for 258 migrants and 174 non-migrants were included in the systematic review and meta-analysis. The estimated ra...Continue Reading

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Citations

Jul 25, 2018·International Journal of Environmental Research and Public Health·Manish PareekMaria van den Muijsenbergh
Dec 21, 2019·Annals of the American Thoracic Society·Helen R StaggKatherine L Fielding
Apr 27, 2021·Journal of Clinical Tuberculosis and Other Mycobacterial Diseases·Aaron S KaratKarina Kielmann

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