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What's more, the average values obtained from them were very close to the native case between 300 K and 350 K.
ESM can provide chain-of-custody best practices along with a native case management system and/or integration with third party case management systems for seamless workflow.
When reporting the same cases to the total of native-born individuals in clusters, the proportion of native individuals who could have been infected by a foreign case ranged from 12 to 37.8% and the proportion of foreign-born cases (over the total of foreign-born individuals clustered) who could have been infected by a native case ranged from 2.7 to 22.2%.
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Six patients presented criteria for XDR-TB, 2 among native cases and 4 among immigrant cases.
In conclusion, we have found that a considerable proportion of TB cases in Spain are immigrants and that significant differences exist between immigrant and native cases.
A significant difference in age existed in our study between immigrant cases, who were mainly under 50 years old, and native cases, who were predominantly older.
28% of the constructed interactions were below the average for native cases of this family, 23% bound better than the corresponding native cases, and the overview of all peptide exchange results showed that virtually all native and non-native interactions get good energy scores.
Nonetheless, the difference in treatment prescription between immigrant and native cases will probably decrease because Spanish [24] and international TB treatment guidelines [25] now recommend that all cases should be initially treated with four drugs.
Differences between global percentages of drug resistance (18.3% of immigrants vs. 7.9% of native cases) and primary drug resistance (16.6% vs. 6.6%, respectively) were statistically significant (p<0.001 for both), as well as for rates of MDR TB (Table 5).
We also found that immigrant TB cases were admitted to emergency care more than native cases; although the health system in Spain is universal this type of service is more accessible than a specialist clinic (where an appointment is necessary) to persons with frequent address changes or an undocumented legal status, both common characteristics in the foreign-born population.
Foreign-born TB cases are younger when compared with native cases.
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