Tuberculosis in adult migrants in Europe: a TBnet consensus statement.

Migrants' risk of tuberculosis (TB) differs depending on migration, socioeconomic status, mode of travel and TB risk in transit, TB incidenceand healthcare provision in country of origin.

移民患结核病（TB）的风险因移民情况、社会经济地位、旅行方式以及过境地的结核病风险、原籍国的结核病发病率和医疗保健提供情况而异。

Despite advances in TB care for migrants and new treatment strategies, decisions for managing migrants at risk of TB often rely on expert opinions, rather than clinical evidence.

尽管在移民结核病护理和新治疗策略方面取得了进展，但管理有结核病风险的移民的决策往往依赖于专家意见，而不是临床证据。

Methods

A systematic literature search was conducted, studies were mapped to different recommendation groups and included studies were synthesised by meta-analysiswhere appropriate.

进行了系统文献检索，将研究映射到不同的推荐组，并在适当的情况下通过荟萃分析对纳入的研究进行了综合。

Current evidence on the diagnosis of active TB in migrants entering the European Union/European Economic Area and UK, including clinical presentation and diagnostic delay, treatment outcomes of drug-susceptible TB, prevalence, and treatment outcomes of multidrug-resistant/rifampicin-resistant TB and TB/HIV co-infection, was summarised.

对进入欧盟/欧洲经济区和英国的移民中活动性结核病的诊断证据进行了总结，包括临床表现和诊断延误，药物敏感性结核病的治疗结果，耐多药/利福平耐药结核病和结核病/HIV共感染的患病率及其治疗结果。

A consensus process was used based on the evidence.

基于证据，使用了共识过程。

Results

We documented that migrants had higher vulnerability for TB, including an increased risk of extrapulmonary TB, multidrug-resistant/rifampicin-resistant TB, TB/HIV co-infection and worse TB treatment outcomes compared to host populations.

我们记录了移民对于结核病的高脆弱性，包括结核病的肺外表现、耐多药/利福平耐药结核病、结核病/HIV共感染以及比当地人群更差的结核病治疗结果的风险增加。

Consensus recommendations include screening migrants for TB/latent TB infection according to country data, a minimal package for TB care in drug-susceptible and multidrug-resistant/rifampicin-resistant TB, implementation of migrant-sensitive strategies and free healthcare and preventive treatment for migrants with HIV co-infection.

共识建议包括根据国家数据对移民进行结核病/潜伏性结核病感染筛查，为耐药性和耐多药/利福平耐药结核病提供最小化治疗包，实施对移民敏感的策略，并为HIV共感染的移民提供免费的医疗保健和预防性治疗。

Conclusions

Dedicated care for TB prevention and treatment in migrant populations within the European Union/European Economic Area and UK is essential.

在欧盟/欧洲经济区和英国，为移民人群提供专门的结核病预防和治疗护理是至关重要的。