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Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals

Tuberculosis (TB) is a known occupational risk to health workers. Identifying risk factors in health care settings is critical to the prevention of TB for health workers and patients. In 2014, we carried out a TB screening and survey for 902 health workers from 14 selected military hospitals to dete...

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Autores principales: Yoon, Chang-gyo, Oh, Soo Yon, Lee, Jin Beom, Kim, Mi-Hyun, Seo, Younsuk, Yang, Juyoun, Bae, Kyu-jung, Hong, Seoyean, Yang, Eun-Suk, Kim, Hee Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494322/
https://www.ncbi.nlm.nih.gov/pubmed/28665059
http://dx.doi.org/10.3346/jkms.2017.32.8.1251
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author Yoon, Chang-gyo
Oh, Soo Yon
Lee, Jin Beom
Kim, Mi-Hyun
Seo, Younsuk
Yang, Juyoun
Bae, Kyu-jung
Hong, Seoyean
Yang, Eun-Suk
Kim, Hee Jin
author_facet Yoon, Chang-gyo
Oh, Soo Yon
Lee, Jin Beom
Kim, Mi-Hyun
Seo, Younsuk
Yang, Juyoun
Bae, Kyu-jung
Hong, Seoyean
Yang, Eun-Suk
Kim, Hee Jin
author_sort Yoon, Chang-gyo
collection PubMed
description Tuberculosis (TB) is a known occupational risk to health workers. Identifying risk factors in health care settings is critical to the prevention of TB for health workers and patients. In 2014, we carried out a TB screening and survey for 902 health workers from 14 selected military hospitals to determine the prevalence rate of latent tuberculosis infection (LTBI) as well as occupational risk factors. Of all subjects, 19.5% reported having provided TB patient care for 1 year or more (176/902), and 26.9% (243/902) were positive for the tuberculin skin test (TST) (10 mm or more of induration). Additionally, 21.4% (52/243) of those who tested positive were also positive for the interferon-gamma release assay (IGRA). The proportion of LTBI in the study population was 5.8% (52/902). In a multivariate logistic regression analysis, providing TB patient care for one year or more was the only significant occupational risk factor (adjusted odds ratio [aOR], 2.27; 95% confidence interval [CI], 1.13–4.56). This study suggests that military health workers working with TB patients should be regularly examined by chest radiography, TST and IGRA to detect LTBI in the early stage and control nosocomial infection of TB.
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spelling pubmed-54943222017-08-01 Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals Yoon, Chang-gyo Oh, Soo Yon Lee, Jin Beom Kim, Mi-Hyun Seo, Younsuk Yang, Juyoun Bae, Kyu-jung Hong, Seoyean Yang, Eun-Suk Kim, Hee Jin J Korean Med Sci Original Article Tuberculosis (TB) is a known occupational risk to health workers. Identifying risk factors in health care settings is critical to the prevention of TB for health workers and patients. In 2014, we carried out a TB screening and survey for 902 health workers from 14 selected military hospitals to determine the prevalence rate of latent tuberculosis infection (LTBI) as well as occupational risk factors. Of all subjects, 19.5% reported having provided TB patient care for 1 year or more (176/902), and 26.9% (243/902) were positive for the tuberculin skin test (TST) (10 mm or more of induration). Additionally, 21.4% (52/243) of those who tested positive were also positive for the interferon-gamma release assay (IGRA). The proportion of LTBI in the study population was 5.8% (52/902). In a multivariate logistic regression analysis, providing TB patient care for one year or more was the only significant occupational risk factor (adjusted odds ratio [aOR], 2.27; 95% confidence interval [CI], 1.13–4.56). This study suggests that military health workers working with TB patients should be regularly examined by chest radiography, TST and IGRA to detect LTBI in the early stage and control nosocomial infection of TB. The Korean Academy of Medical Sciences 2017-08 2017-06-27 /pmc/articles/PMC5494322/ /pubmed/28665059 http://dx.doi.org/10.3346/jkms.2017.32.8.1251 Text en © 2017 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoon, Chang-gyo
Oh, Soo Yon
Lee, Jin Beom
Kim, Mi-Hyun
Seo, Younsuk
Yang, Juyoun
Bae, Kyu-jung
Hong, Seoyean
Yang, Eun-Suk
Kim, Hee Jin
Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title_full Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title_fullStr Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title_full_unstemmed Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title_short Occupational Risk of Latent Tuberculosis Infection in Health Workers of 14 Military Hospitals
title_sort occupational risk of latent tuberculosis infection in health workers of 14 military hospitals
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494322/
https://www.ncbi.nlm.nih.gov/pubmed/28665059
http://dx.doi.org/10.3346/jkms.2017.32.8.1251
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