Drivers determining TB disease screening yield in four European screening programmes: a comparative analysis.
Dominik ZennerDaniella BralsJoanna Nederby-ÖhdDee MenezesRobert W AldridgeSarah AndersonGerard de VriesConnie ErkensValentina MarcheseAlberto MatteeliMorris MuzyambaJob van RestIneke SpruijtJohn WereGiovanni Battista MiglioriKnut LönnrothFrank CobelensIbrahim AbubakarPublished in: The European respiratory journal (2023)
Key determinants of TB yield included close contact, increasing age, incidence in CoO and specific migrant groups including asylum seekers and refugees. For most migrants such as UK students and workers, TB yield significantly increased with levels of incidence in CoO. The high, CoO-independent TB risk in asylum seekers above a 100 per 100,000 threshold could reflect higher transmission and reactivation risk of migration routes; with implications for selecting populations for TB screening.