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2015, Number 1

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Rev Cubana Med Trop 2015; 67 (1)

Evaluation of latent tuberculosis infection risk in Primary Health Care workers

Martínez HD, Borroto GS, Arroyo RL, González OE
Full text How to cite this article

Language: Spanish
References: 21
Page: 11-19
PDF size: 113.60 Kb.


Key words:

tuberculosis, transmission, risk, primary health care workers.

ABSTRACT

Introduction: Evaluation of Mycobacterium tuberculosis transmission risk in health care facilities is necessary to implement effective infection control programs.
Objective: To assess the risk of Latent Tuberculosis Infection in Primary Health Care workers at La Lisa municipality.
Methods: A cross sectional study in Primary Health Care workers from five polyclinics of La Lisa municipality, Havana City, from 2009 to 2011 was performed. A tuberculin skin test was applied along with an interview on personal data and exposition to M. tuberculosis. The prevalence of Latent tuberculosis Infection for each area were calculated, as well as the distribution of individual and collective risk. To prove the possible influence of predictor variables on the presence of infection, a bivariate analysis using the Prevalence Risk Ratio was applied.
Results: Most of the staff (75,1 %) are at minimum risk. Elpidio Berovides polyclinic had most PHCW at minimum risk (84,4 %) and fewest at high risk (11,3 %). Those Primary Health Care workers at minimum risk had the lowest prevalence of Latent Tuberculosis Infection. Laboratory, amily Doctor Offices, Sexual Transmitted Diseases and Hygiene & Epidemiology departments, were evaluated at higher risk.
Conclusions: The individual and collective risk in these Primary Health Care workers was low to very low. The low tuberculosis infection transmission in these workers of La Lisa could be related with the low incidence of Mycobacterium tuberculosis in the local population.


REFERENCES

  1. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticos de Salud. Anuario Estadístico 2013. La Habana: MINSAP; Abr 2014 [citado 25 Feb 2015]. Disponible en: http://www.sld.cu/servicios/estadisticas

  2. Organización Panamericana de Salud / Organización Mundial de la Salud. Informe IV Reunión Subregional de países de baja prevalencia de tuberculosis. Eliminación de la tuberculosis como problema de salud pública. San José de Costa Rica, Costa Rica. Washington DC: OPS/OMS; 7-8 December 2006.

  3. Palomino JC, Leão SC, Ritacco V. Tuberculosis 2007. From Basic science to patient care. First Edition. Amberes, Belgica: TuberculosisTextbook; June 2007 [citado 25 Feb 2015]. Disponible en: www.TuberculosisTextbook.com

  4. Centers for Disease Control and Prevention (CDC). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR 2005;54(17):1-151.

  5. OMS. La Prueba Tuberculínica Estándar de la OMS.TB/Guía Técnica/3. Ginebra, Suiza: OMS; 1963.

  6. Borroto S, Fernández R, Castro O, González E, Armas L. Evaluación del Riesgo de Tuberculosis en los Trabajadores del Instituto Pedro Kourí. Med. y Seguridad del Trab. 2000;(87):69-76.

  7. Borroto S, Sevy J, Fumero M, González E, Machado D. Riesgo de ocurrencia de la tuberculosis en los trabajadores del Hospital Universitario Neumológico Benéfico Jurídico de La Habana. Rev Cubana Med Trop. 2012;64(1):55-60.

  8. Centers for Disease Control and Prevention (CDC). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 1994. MMWR 1994;43(RR-13):4-17.

  9. Deddens J, Petersen M. Approaches for estimating prevalence ratios. Occup Environ Med 2008;65:501-6.

  10. Borroto S, Gámez D, Martínez Y, Ferrer AI, Velásquez Y, Llanes M, et al. Latent tuberculosis Infection among health care workers at a general hospital in Santiago de Cuba. Int J Tuberc Lung Dis. 2011;15(11):1510-4.

  11. Díaz A, Dueñas D, Lazo M, Borroto S, González E. Tuberculosis en trabajadores de salud del Hospital Psiquiátrico de La Habana, 1997-2003. Rev Panam Infectol. 2005;7(3):22-6.

  12. Khanna P, Nikolayevskyy V, Warburton F, Dobson F, Drobniewski F. Rate of latent tuberculosis infection detected by occupational health screening of nurses new to a London teaching hospital. Infect Control Hosp Epidemiol 2009;30(6):581-4.

  13. Drobniewski F, Balabanova Y, Zakamova E, Nikolayevskyy V, Fedorin I. Rates of Latent Tuberculosis in Health Care Staff in Rusia. PLoS Medicine 2007;4(2):55.

  14. Nery de Souza J, BertolozziII MR. La vulnerabilidad a la tuberculosis en trabajadores de enfermería dentro de un hospital universitario. Rev Latino-Am Enfermagem. 2007 [citado 12 Feb 2012];15(2):[aprox. 10 p.]. Disponible en: http://dx.doi.org/10.1590/S0104-11692007000200011.

  15. Torres J, Silva R, Sá R, Cardoso MJ, Nienhaus A. Results of five-years systematic screening for latent tuberculosis infections um healthcare workers in Portugal. J Occup Med Toxicology 2010;5:22.

  16. Vries G, Ebek MM, Langbregts-van Weezen C. Heath care workers with tuberculosis infected during work. Eur Resp J 2006;28:1216-21.

  17. Lien LT, Hang NTL, Kobayashi N, Yanai H, Toyota E, et al. Prevalence and Risk Factors for Tuberculosis Infection among Hospital Workers in Hanoi, Viet Nam. PLoS ONE 2009;4(8):e6798. doi:10.1371/journal.pone.0006798

  18. Jiamjarasrangsi W, Hirunsuthikul N, Kamonratanakul R. Tuberculosis among Health Care Workers at King Chulalongkorn Memorial Hospital, 1988-2002. Int J Tuberc Lung Dis 2005;11:1253-8.

  19. Rafiza S, Gomal K, Tahir A. Prevalence and risk factors of latent tuberculosis infection among health care workers in Malaysia. BMC Infectious Diseases 2011 [citado 12 Feb 2012];11:19. doi:10.1186/1471-2334-11-19. Disponible en: http://www.biomedcentral.com/1471-2334/11/19

  20. Franchi A, Richeldi L, Parrinello G, Franco R. Room size is the major determinant for tuberculin conversion. Int Arch Occupational Envir Health 2007;80:533-8.

  21. He GX, van den Hof S, van der Werf MJ. Infection control and the burden of tuberculosis infection and disease in health care workers in China: a cross-sectional study. BMC Infect Dis 2010;10:313.




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Rev Cubana Med Trop. 2015;67