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Inicio Medicina Clínica (English Edition) Relevance of screening for Chagas and viral hepatitis in Bolivian migrants
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Vol. 157. Issue 2.
Pages 64-67 (July 2021)
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Vol. 157. Issue 2.
Pages 64-67 (July 2021)
Brief report
Relevance of screening for Chagas and viral hepatitis in Bolivian migrants
Relevancia del cribado de Chagas y hepatitis vírica en emigrantes bolivianos
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Irene Losada Galvána,
Corresponding author
irene.losada@isglobal.org

Corresponding author.
, Giuseppe Gariupb, Aina Casellasa, Carme Subiràa, Natalia Rodríguez-Valeroa, María Jesús Pinazoa
a ISGlobal, Hospital Clínic – Universitat de Barcelona, Barcelona, Spain
b Internal Medicine, Hospital Clinic, Barcelona, Spain
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Tables (2)
Table 1. Demographic characteristics and T. cruzi risk factors.
Table 2. Other infectious diseases by T. cruzi results.
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Abstract
Objectives

Given the scarcity of data regarding prevalence of various infectious diseases in Latin-American countries, our study aims to assess the burden of T. cruzi, S. stercoralis, HIV and viral hepatitis in Latin-American migrants, with a focus on Bolivian migrants.

Methods

We performed a retrospective observational study of 565 screening evaluations in adults (≥18 years) carried out at our International Healthcare referral service in Barcelona. We reviewed structured clinical records and microbiological results of patients attended between February 2012 and April 2015.

Results

The median age was 35 years and 74% were women. Of the population screened, 87% were of Bolivian origin. We found a 48% prevalence of T. cruzi, 16% of S. stercoralis, 0.2% of HIV, 0.2% HBV and 0.2% HCV.

Conclusions

These results support the relevance of screening for T. cruzi and S. stercoralis in Bolivian migrants but challenge the pertinence of systematic screening for HBV in this population.

Keywords:
Chagas
Hepatitis
Migrants
Screening
Strongyloides
Bolivian
Resumen
Objetivos

Dada la escasez de datos con relación a la prevalencia de diversas enfermedades infecciosas en los países iberoamericanos, el objetivo de nuestro estudio fue evaluar la carga de T. cruzi, S. stercoralis, VIH y hepatitis vírica en los emigrantes iberoamericanos, con especial atención en los emigrantes bolivianos.

Métodos

Estudio observacional retrospectivo de 565 cribados en adultos (≥ 18 años) realizado en nuestro servicio de Servicio de Salud Internacional en Barcelona. Revisamos los registros clínicos estructurados y los resultados microbiológicos de los pacientes asistidos entre febrero de 2012 y abril de 2015.

Resultados

La edad media fue de 35 años y el 74% fueron mujeres. El origen boliviano representó el 87% de la población cribada. Encontramos una prevalencia de 48% de T. cruzi, 16% de S. stercoralis, 0,2% de VIH, 0,2% de VHB y 0,2% de VHC.

Conclusiones

Estos resultados respaldan la relevancia del cribado de T. cruzi y S. stercoralis en migrantes bolivianos, aunque cuestiona la pertinencia del cribado sistemático de VHB en esta población.

Palabras clave:
Chagas
Hepatitis
Emigrantes
Cribado
Strongyloides
Boliviano

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