Tuberculosis among health care workers in British Columbia

被引:0
作者
Pleszewski, B
FitzGerald, JM
机构
关键词
tuberculosis; health care workers;
D O I
暂无
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
OBJECTIVES: TO compare the clinical features and prevalence of active TB in British Columbia (BC) health-care workers (HCWs) with those of the general population, between 1991 and 1996. METHODS: Comparison of 25 HCWs and 50 controls randomly selected from the Centres for Disease Control registry, with respect to demographics, prevention, diagnosis and management. RESULTS: HCWs had fewer related risk factors, but more had initiated prior chemoprophylaxis (16% vs. 0%, P < 0.01) and knew their bacille Calmette-Guerin (BCG) (68% vs. 24%, P < 0.001) and purified protein derivative (PPD) status (60% vs 32%, P < 0.05). There were no differences in symptom duration (3.3 +/- 3.6 vs. 3.0 +/- 3.4 months), mycobacteriology and diagnostic features, treatment duration (264.9 +/- 63.9 vs. 239.0 +/- 78.7 days) and completion rates (84% for both). All HCWs used self-administered treatment (100% vs. 70%, P < 0.01), and fewer were hospitalized (8% vs. 28%, P < 0.05). Disease rates in nurses (3.6 +/- 4.4 per 100 000) were lower than the general population rates (9.0 +/- 0.8), but did not differ among physiotherapists (8.96 +/- 21.95), general practitioners (7.60 +/- 11.78) and medical residents (30.75 +/- 75.32). CONCLUSIONS: Clinical features were similar in HCWs, but management strategies differed. BC HCWs are not at increased risk of tuberculosis, but the small sample size limited the power of our study to detect such an increase.
引用
收藏
页码:898 / 903
页数:6
相关论文
共 50 条
[41]   Screening for latent tuberculosis in UK health care workers [J].
Henderson, M. ;
Howard, S. J. .
OCCUPATIONAL MEDICINE-OXFORD, 2017, 67 (08) :641-643
[42]   RISK FACTORS FOR LATENT TUBERCULOSIS INFECTION AMONG HEALTH-CARE WORKERS IN NORTHEASTERN THAILAND [J].
Nonghanphithak, Ditthawat ;
Reechaipichitkul, Wipa ;
Chaiyasung, Tassamonwan ;
Faksri, Kiatichai .
SOUTHEAST ASIAN JOURNAL OF TROPICAL MEDICINE AND PUBLIC HEALTH, 2016, 47 (06) :1198-1208
[43]   Valuation of knowledge, attitude, practices of tuberculosis among the health care workers from Islamabad Pakistan [J].
Ahmed, Niaz ;
Jabeen, Sadia ;
Rashid, Faiqa ;
Lal, Nand ;
Ali, Maqsood ;
Sattar, Abdul ;
Ali, Ansar ;
Ali, Abid ;
Arshad, Muhammad ;
Fu, Yingmei ;
Zhang, Fengmin ;
Malik, Shaukat Iqbal .
ACTA TROPICA, 2024, 257
[44]   Latent tuberculosis infection among health care workers at a general hospital in Santiago de Cuba [J].
Borroto, S. ;
Gamez, D. ;
Diaz, D. ;
Martinez, Y. ;
Ferrer, A. I. ;
Velasquez, Y. ;
Llanes, M. J. ;
Gonzalez, E. .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2011, 15 (11) :1510-1514
[45]   Tuberculosis among health care workers at King Chulalongkorn Memorial Hospital, 1988-2002 [J].
Jiamjarasrangsi, W ;
Hirunsuthikul, N ;
Kamolratanakul, R .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2005, 9 (11) :1253-1258
[46]   Qualitative study of perceived causes of tuberculosis treatment default among health care workers in Morocco [J].
Kizub, D. ;
Ghali, I. ;
Sabouni, R. ;
Bourkadi, J. E. ;
Bennani, K. ;
El Aouad, R. ;
Dooley, K. E. .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2012, 16 (09) :1214-1220
[47]   Health care workers' knowledge, attitudes and practices on tuberculosis infection control, Nepal [J].
Shrestha, Anita ;
Bhattarai, Dipesh ;
Thapa, Barsha ;
Basel, Prem ;
Wagle, Rajendra Raj .
BMC INFECTIOUS DISEASES, 2017, 17
[48]   Serial testing of health care workers for tuberculosis using interferon-γ assay [J].
Pai, Madhukar ;
Joshi, Rajnish ;
Dogra, Sandeep ;
Mendiratta, Deepak K. ;
Narang, Pratibha ;
Kalantri, Shriprakash ;
Reingold, Arthur L. ;
Colford, John M., Jr. ;
Riley, Lee W. ;
Menzies, Dick .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 174 (03) :349-355
[49]   Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal [J].
Anita Shrestha ;
Dipesh Bhattarai ;
Barsha Thapa ;
Prem Basel ;
Rajendra Raj Wagle .
BMC Infectious Diseases, 17
[50]   Tuberculosis among community-based health care researchers [J].
Claassens, M. M. ;
Sismanidis, C. ;
Lawrence, K-A. ;
Godfrey-Faussett, P. ;
Ayles, H. ;
Enarson, D. A. ;
Beyers, N. .
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2010, 14 (12) :1576-1581