scholarly journals Compliance with Screening and Treatment of Latent Tuberculosis among Health Care Workers in a Lebanese Hospital

2021 ◽  
Vol 6 (09) ◽  
pp. 519-524
Author(s):  
Stephanie Farah ◽  
Youssef Rizk ◽  
Georges Khazen ◽  
Rania Sakr
Keyword(s):  
Health Care ◽  
Side Effects ◽  
Health Care Workers ◽  
Latent Tuberculosis ◽  
Retrospective Chart Review ◽  
Treatment Benefit ◽  
Post Exposure ◽  
Care Workers ◽  
Increased Risk ◽  
Annual Screening

Background: Health care workers (HCWs) are at increased risk of Tuberculosis infection. Various Guidelines recommend pre-placement, post-exposure, and annual screening for latent tuberculosis among HCWs. Aim: to assess the compliance of HCWs with these protocols. In addition, the study aimed to evaluate the compliance with treatment of Latent Tuberculosis and reasons of non-adherence. Methods: Study was conducted on 560 HCWs in a Lebanese hospital. A Questionnaire col-lected data on knowledge about latent tuberculosis, post-exposure screening and the reasons behind non adherence to treatment. A retrospective chart review on the same HCWs revealed data regarding TST pre-employment status, compliance to screening, seroconversion and compliance to treatment. Results: 69% of HCWs did not attend a lecture on Tuberculosis. 76% were aware of screen-ing policies. 88% performed pre-placement testing. 29% were screened post exposure. Only 4.3% had their PPD done annually. 8 HCWs seroconverted; Only 59% of positive employees initiated treatment. . Reasons included refusal or belief of no treatment benefit (55%), not being prescribed a treatment (33%), Contraindications (8%), and being afraid of side effects (4%). 15% of those who received treatment were not able to complete the full course mainly due to side effects (80%). Conclusion: We reported acceptable rates of pre-placement screening, low rates of annual screening and post exposure screening. We also reported fair rates of initiation and comple-tion of LTBI treatment. We recommend an administrative initiative to strongly implement the policies of screening for LTBI.

scholarly journals PREVALENCE OF LATENT TB INFECTION AMONG HEALTH CARE WORKERS, ALJAZEERA STATE TB CENTERS, SUDAN

2020 ◽  
Vol 5 (12) ◽  
pp. 465-470
Author(s):  
Juhaina Abdulraiem AL Mosharaf ◽  
Adam Abdalla Mater
Keyword(s):  
Health Care ◽  
Skin Test ◽  
Health Care Workers ◽  
Latent Tuberculosis ◽  
Health Care Facilities ◽  
Control Measures ◽  
Treatment Center ◽  
Infection Control Measures ◽  
Care Workers ◽  
Increased Risk

Health care workers (HCW) are at increased risk of latent tuberculosis infection (LTBI) from occupational exposure to Mycobacterium tuberculosis. The objective was to determine the prevalence and risk factors for LTBI among primary HCW in Aljazeera state Sudan. We conducted an analytical study, among HCW in TB treatment center using a structured questionnaire and an evaluated for LTBI using the tuberculin skin test among 367 HCW, the LTBI prevalence was 35.7%. (64.5%), We found that the following factors associated with LTBI in HCW were in age group 30-40 years was 63% ,75.2% of the participants didn't do the skin test for TB, and the high risk among the  lab technician represented 41.2%. Our study recommended implementation of sound TB infection control measures in all health care facilities with patients suspected of having infectious.

scholarly journals Prevalence of latent tuberculosis infection among health workers in Afghanistan: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252307
Author(s):  
Ghulam Qader Qader ◽  
Mohammad Khaled Seddiq ◽  
Khakerah Mohammad Rashidi ◽  
Lutfullah Manzoor ◽  
Azizullah Hamim ◽  
...  
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Body Mass ◽  
Health Care Workers ◽  
Latent Tuberculosis ◽  
Health Facilities ◽  
Skin Tests ◽  
Cross Sectional ◽  
Care Workers ◽  
Increased Risk

Background About 26% of the world’s population may have latent tuberculosis infection (LTBI). Health care workers are a high-risk category because of their professional exposure. Methods This cross-sectional study assessed the LTBI burden among health care workers in Afghanistan, a high-TB-burden country. We selected health facilities using a systematic sampling technique and invited all workers at the targeted health facilities to participate. Participants were interviewed about sociodemographic and exposure variables and received tuberculin skin tests for LTBI. Results Of the 4,648 health care workers invited to participate, 3,686 had tuberculin skin tests. The prevalence of LTBI was found to be 47.2% (1,738 workers). Multivariate analysis showed that a body mass index of ≥ 30 and marriage were associated with an increased risk of LTBI. Underweight (body mass index of ≤ 18 and below) and normal body mass index had no association with increased risk of LTBI. Conclusion LTBI is high among health care workers in Afghanistan. We recommend instituting infection control measures in health facilities and screening workers for timely TB diagnosis.

scholarly journals Comparison of Latent Tuberculosis Infections among General versus Tuberculosis Health Care Workers in Myanmar

2020 ◽  
Vol 5 (3) ◽  
pp. 116
Author(s):  
Moe Hnin Phyu ◽  
Hutcha Sriplung ◽  
Myo Su Kyi ◽  
Cho Cho San ◽  
Virasakdi Chongsuvivatwong
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Work Experience ◽  
Associated Factors ◽  
Latent Tuberculosis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Workers ◽  
Normal Chest Radiograph ◽  
Latent Tb Infection

Health care workers (HCWs) in high tuberculosis (TB) prevalence countries have to care for many cases, thus increasing their risk of infection. The objective of the study was to compare the prevalence of latent TB infection (LTBI) between general HCWs and TB HCWs, and also to explore the associated factors. A cross-sectional study was conducted in Nay Pyi Taw, Myanmar from September 2019 to January 2020. Staff working at two general hospitals were recruited. Those allocated for TB care were classified as TB HCWs, while the remaining were classified as general HCWs. Participants were interviewed using a structured questionnaire, and screened for LTBI using a tuberculin skin test (TST). Individuals who had an induration of 10 mm or more with normal chest radiograph were regarded as having LTBI. The prevalence of LTBI among general HCWs was 2.04 times higher than that of TB HCWs (31.2% vs. 15.3%, p < 0.001). The associated factors for LTBI included low education level, duration of work experience ≥ 10 years, a low knowledge of regular TB screening, and teaching cough etiquette to TB patients. The higher prevalence of LTBI in the general HCWs in this study was due to confounding by education and experience. After adjustment for these, we have no evidence to support that either group of HCWs had higher LTBI risk.

scholarly journals Isolation measures and protection awareness are significant for latent tuberculosis infection: a cross-sectional study based on T-SPOT.TB among health care workers in China

2019 ◽  
Vol 147 ◽  
Author(s):  
Yunfeng Deng ◽  
Yun Liu ◽  
Yan Li ◽  
Hui Jing ◽  
Yan Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Healthcare Service ◽  
Latent Tuberculosis Infection ◽  
Latent Tuberculosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

AbstractThis study aimed to reveal the associated risk factors for latent tuberculosis infection (LTBI) detected by T-SPOT.TB assay among health care workers (HCWs) at different working locations or job categories in China. This cross-sectional study included 934 HCWs who underwent the T-SPOT.TB assay. Demographic and social characteristics of the participants, including age, sex, job categories, department/ward and duration of healthcare service, were recorded. Among 934 HCWs, 267 (28.5867%) were diagnosed as having LTBI with positive T-SPOT.TB assay. HCWs working in inpatient tuberculosis (TB) (odds ratio (OR) 2.917; 95% confidence interval (CI) 1.852–4.596; P < 0.001) and respiratory wards (OR 1.840; 95% CI 1.124–3.011; P = 0.015), and with longer duration of healthcare service (OR 1.048; 95% CI 1.016–1.080; P = 0.003) were risk factors for positive T-SPOT.TB result. Furthermore, longer working duration increased the positive rate of T-SPOT.TB results for physicians and nurses, and physicians had higher risks than nurses for the same working duration. Inpatient TB and respiratory wards were high-risk working locations for HCWs with LTBI, and longer duration of healthcare service also increased the risk of LTBI among HCWs. A complete strategy for TB infection control and protection awareness among HCWs should be enhanced.

scholarly journals Screening for latent tuberculosis in UK health care workers

2017 ◽  
Vol 67 (8) ◽  
pp. 641-643 ◽  
Author(s):  
M Henderson ◽  
S J Howard
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Latent Tuberculosis ◽  
Care Workers
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