Refugees and antimicrobial resistance: A systematic review

Smalen, Allard Willem de; Ghorab, Hatem; Ghany, Moataz Abd El; Hill-Cawthorne, Grant A.

doi:10.1016/j.tmaid.2016.12.001

Cited by 52 publications

(35 citation statements)

References 10 publications

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“…65 A further concern with chronic health issues is the emergence of multiresistant bacteria in refugees from the Middle East. 66 The first contact to antibiotics often occurs in a Syrian field hospital, where the choice of antibiotic drug mostly depends on its availability and not on the potential microorganism. 49,67 For further health care contacts along the route, the same principals of antibiotic therapy apply.…”

Section: Infectious Diseasesmentioning

confidence: 99%

Understanding Refugees' Health

Mûller

Khamis²,

Srivastava

et al. 2018

Semin Neurol

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According to the United Nations Refugee Agency (UNHCR), 65.6 million people have been forcibly displaced worldwide. Several factors have a major influence on asylum seekers' health; so, their health profile is markedly different from that of the population in the country of asylum. The aim of this study is to review the major issues physicians need to be aware of when treating asylum seekers, with a special focus on the neurological problems of asylum seekers and refugees. The major impact factors on refugees' health are linked to experiences and exposure (1) in the country of origin, (2) in refugee camps and en route to Europe, and (3) in the process of immigration into the host country and living in European asylum centers. Refugees' health is also affected by psychological problems and by infectious diseases. Additionally, chronic diseases resulting in polymorbidity, cancer, and neurological diseases are easy to overlook and demand special attention. Neurological injuries/diseases may be traumatic (e.g., spinal cord injuries), posttraumatic (e.g., chronic pain syndromes), the result of cerebral infections, or the consequences of starvation (e.g., epilepsy, ataxia, and paraesthesia). The main challenges for physicians are lack of awareness of the asylum seekers' specific health care problems, language and intercultural communication problems, as well as access and integration of asylum seekers into the health care system. The health issues of asylum seekers are manifold and challenging to physicians. Awareness of these conditions is mandatory to ensure good clinical practice for this patient population, which has a huge burden in chronic, infectious, mental, and neurological diseases.

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Section: Infectious Diseasesmentioning

confidence: 99%

Understanding Refugees' Health

Mûller

Khamis²,

Srivastava

et al. 2018

Semin Neurol

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“…Migrants are especially vulnerable to the acquisition of drug-resistant organisms and facilitating their subsequent spread [7]. Studies of refugees arriving in high-income countries have noted a high prevalence of drug-resistant tuberculosis [8], infections with antibiotic-resistant Enterobacteriaceae [9, 10], and colonization with antibiotic-resistant bacteria [11].…”

Section: Bacterial Diseasesmentioning

confidence: 99%

Pulmonary Diseases in Refugees and Migrants in Europe

et al. 2018

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More than 2 million people fleeing conflict, persecution, and poverty applied for asylum between 2015 and 2016 in the European Union. Due to this, medical practitioners in recipient countries may be facing a broader spectrum of conditions and unusual presentations not previously encountered, including a wide range of infections with pulmonary involvement. Tuberculosis is known to be more common in migrants and has been covered broadly in other publications. The scope of this review was to provide an overview of exotic infections with pulmonary involvement that could be encountered in refugees and migrants and to briefly describe their epidemiology, diagnosis, and management. As refugees and migrants travel from numerous countries and continents, it is important to be aware of the various organisms that might cause disease according to the country of origin. Some of these diseases are very rare and geographically restricted to certain regions, while others have a more cosmopolitan distribution. Also, the spectrum of severity of these infections can vary from very benign to severe and even life-threatening. We will also describe infectious and noninfectious complications that can be associated with HIV infection as some migrants might originate from high HIV prevalence countries in sub-Saharan Africa. As the diagnosis and treatment of these diseases can be challenging in certain situations, patients with suspected infection might require referral to specialized centers with experience in their management. Additionally, a brief description of noncommunicable pulmonary diseases will be provided.

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“…from torture), infectious disease such as TB and worsening of pre-existing conditions such as diabetes [32] [33]. Not only is their health problems manifold but also, refugees are displaced from their health care system and past medical records.…”

Section: Case Study Three: the Refugee Populationmentioning

confidence: 99%

The Application of Wearable Technologies to Improve Healthcare in the World’s Poorest People

Levine¹

2017

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Wearable technologies could be influential for improving healthcare in underserved areas. Wearable sensors are straightforward to develop, have low production costs and the methods for processing high volumes of data are advanced. Here we examine the application of wearable technology for improving health in three poverty-related scenarios. The first is for diabetes prevention in Mexico City. The second is for medical care in the Kibera slum in Nairobi and the third is for the delivery of "health kits" to refugees. The analysis affirms that investment is worthwhile in mass scalable wearable technologies directed at the half of the world's population who live in poverty.

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Refugees and antimicrobial resistance: A systematic review

Cited by 52 publications

References 10 publications

Understanding Refugees' Health

Understanding Refugees' Health

Pulmonary Diseases in Refugees and Migrants in Europe

The Application of Wearable Technologies to Improve Healthcare in the World’s Poorest People

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