Tuberculosis among health care workers

To assess the annual risk for latent tuberculosis infection (LTBI) among health care workers (HCWs), the incidence rate ratio for tuberculosis (TB) among HCWs worldwide, and the population-attributable fraction of TB to exposure of HCWs in their work settings, we reviewed the literature. Stratified...

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Published inEmerging infectious diseases Vol. 17; no. 3; pp. 488 - 494
Main Authors Baussano, Iacopo, Nunn, Paul, Williams, Brian, Pivetta, Emanuele, Bugiani, Massimiliano, Scano, Fabio
Format Journal Article
LanguageEnglish
Published United States U.S. National Center for Infectious Diseases 01.03.2011
Centers for Disease Control and Prevention
Subjects
CME
Health aspects
Health care industry
health care workers
Health Personnel - statistics & numerical data
Humans
Incidence
Infection Control
Infectious Disease Transmission, Patient-to-Professional
Latent Tuberculosis - epidemiology
Latent Tuberculosis - microbiology
Latent Tuberculosis - transmission
Medical research
Medicine, Experimental
Occupational Diseases - epidemiology
Occupational Diseases - microbiology
Risk Factors
systematic review
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - microbiology
Tuberculosis - transmission
Tuberculosis and other mycobacteria
Workers
Online AccessGet full text

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Abstract To assess the annual risk for latent tuberculosis infection (LTBI) among health care workers (HCWs), the incidence rate ratio for tuberculosis (TB) among HCWs worldwide, and the population-attributable fraction of TB to exposure of HCWs in their work settings, we reviewed the literature. Stratified pooled estimates for the LTBI rate for countries with low (<50 cases/100,000 population), intermediate (50-100/100,000 population), and high (>100/100,000 population) TB incidence were 3.8% (95% confidence interval [CI] 3.0%-4.6%), 6.9% (95% CI 3.4%-10.3%), and 8.4% (95% CI 2.7%-14.0%), respectively. For TB, estimated incident rate ratios were 2.4 (95% CI 1.2-3.6), 2.4 (95% CI 1.0-3.8), and 3.7 (95% CI 2.9-4.5), respectively. Median estimated population-attributable fraction for TB was as high as 0.4%. HCWs are at higher than average risk for TB. Sound TB infection control measures should be implemented in all health care facilities with patients suspected of having infectious TB.
AbstractList To assess the annual risk for latent tuberculosis infection (LTBI) among health care workers (HCWs), the incidence rate ratio for tuberculosis (TB) among HCWs worldwide, and the population-attributable fraction of TB to exposure of HCWs in their work settings, we reviewed the literature. Stratified pooled estimates for the LTBI rate for countries with low (<50 cases/100,000 population), intermediate (50–100/100,000 population), and high (>100/100,000 population) TB incidence were 3.8% (95% confidence interval [CI] 3.0%–4.6%), 6.9% (95% CI 3.4%–10.3%), and 8.4% (95% CI 2.7%–14.0%), respectively. For TB, estimated incident rate ratios were 2.4 (95% CI 1.2–3.6), 2.4 (95% CI 1.0–3.8), and 3.7 (95% CI 2.9–4.5), respectively. Median estimated population-attributable fraction for TB was as high as 0.4%. HCWs are at higher than average risk for TB. Sound TB infection control measures should be implemented in all health care facilities with patients suspected of having infectious TB.
Audience Professional
Academic
Author Nunn, Paul
Pivetta, Emanuele
Bugiani, Massimiliano
Baussano, Iacopo
Scano, Fabio
Williams, Brian
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  surname: Baussano
  fullname: Baussano, Iacopo
  email: i.baussano06@imperial.ac.uk
  organization: University A. Avogadro, Novara, Italy. i.baussano06@imperial.ac.uk
– sequence: 2
  givenname: Paul
  surname: Nunn
  fullname: Nunn, Paul
– sequence: 3
  givenname: Brian
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  fullname: Williams, Brian
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  givenname: Emanuele
  surname: Pivetta
  fullname: Pivetta, Emanuele
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  givenname: Massimiliano
  surname: Bugiani
  fullname: Bugiani, Massimiliano
– sequence: 6
  givenname: Fabio
  surname: Scano
  fullname: Scano, Fabio
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21392441$$D View this record in MEDLINE/PubMed
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Snippet To assess the annual risk for latent tuberculosis infection (LTBI) among health care workers (HCWs), the incidence rate ratio for tuberculosis (TB) among HCWs...
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SubjectTerms CME
Health aspects
Health care industry
health care workers
Health Personnel - statistics & numerical data
Humans
Incidence
Infection Control
Infectious Disease Transmission, Patient-to-Professional
Latent Tuberculosis - epidemiology
Latent Tuberculosis - microbiology
Latent Tuberculosis - transmission
Medical research
Medicine, Experimental
Occupational Diseases - epidemiology
Occupational Diseases - microbiology
Risk Factors
systematic review
Tuberculosis
Tuberculosis - epidemiology
Tuberculosis - microbiology
Tuberculosis - transmission
Tuberculosis and other mycobacteria
Workers
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Title Tuberculosis among health care workers
URI https://www.ncbi.nlm.nih.gov/pubmed/21392441
https://pubmed.ncbi.nlm.nih.gov/PMC3298382
https://doaj.org/article/5ce42bcee2a442cc9d887910af9c63eb
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