PDF(Pubmed)
Abstract：
The clinical interview of immigrant patients requires cultural competence to ensure good understanding and correct communication, in addition to collecting specific information that differs from that of native patients, such as origin and migratory route or cultural identity. Screening for latent tuberculosis infection is recommended in certain cases and screening for other infections, both cosmopolitan with a higher prevalence in migrants (HIV, syphilis, hepatitis B and C) and imported (Chagas, intestinal parasites, strongyloidiasis, schistosomiasis), depending on origin. It is essential to check the vaccination status and complete the vaccination schedule, adapting it to the current calendar, prioritizing vaccines such as measles, rubella and poliomyelitis. We propose preventive activities to be carried out when traveling to countries of origin, due to their special characteristics and risks: general advice, exploring the risk of malaria, assessing specific vaccinations, advice regarding sexually transmitted infections and special considerations if they have chronic diseases; and addressing, if appropriate, the risks of female genital mutilation.
摘要：
移民患者的临床访谈需要文化能力，以确保良好的理解和正确的沟通，除了收集与本地患者不同的特定信息外，例如起源和迁徙路线或文化认同。在某些情况下，建议筛查潜伏性结核感染，并筛查其他感染。两者都是移民患病率较高的世界性人群(艾滋病毒，梅毒,乙型肝炎和丙型肝炎)和进口(查加斯，肠道寄生虫,圆线虫病,血吸虫病)，取决于起源。必须检查疫苗接种状态并完成疫苗接种时间表，使其适应当前日历，优先考虑麻疹等疫苗，风疹和脊髓灰质炎.我们建议在前往原籍国时进行预防活动，由于它们的特殊特征和风险：一般建议，探索疟疾的风险，评估特定的疫苗接种，关于性传播感染的建议和患有慢性病的特殊考虑；以及解决，如果合适,女性生殖器切割的风险。
