Latent tuberculosis among professionals from a referral hospital in oncology

Autores

  • Ana Cristina Weber Bavaresco School of Pharmacy, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil
  • Caroline Busatto School of Pharmacy, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil
  • Ana Julia Reis School of Pharmacy, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil
  • Suzane Frantz Krug Graduate Program in Health Promotion, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.
  • Nilza Segatto Safety Engineering and Occupational Medicine Unit, Hospital Ana Nery. Santa Cruz do Sul, RS, Brazil.
  • Andréia Rosane De Moura Valim Graduate Program in Health Promotion, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.
  • Luciana de Souza Nunes Department of Biology and Pharmacy, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.
  • Eloete Stahlecker Safety Engineering and Occupational Medicine Unit, Hospital Ana Nery. Santa Cruz do Sul, RS, Brazil.
  • Vanda Hermes City Administration of Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.
  • Thiago Prado Nascimento Epidemiology Laboratory, Universidade Federal do Espírito Santo (Lab-Epi UFES). Espirito Santo, ES, Brazil.
  • Marcelo Carneiro Department of Biology and Pharmacy, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.
  • Lia Gonçalves Possuelo Graduate Program in Health Promotion, Universidade de Santa Cruz do Sul. Santa Cruz do Sul, RS, Brazil.

Palavras-chave:

Latent tuberculosis, occupational risk, tuberculin test, vulnerable populations

Resumo

Introduction: Tuberculosis (TB) is an ancient contagious disease, and continues to be the leading cause of morbidity and mortality among infectious contagious diseases. It can be considered an occupational infectious disease when it happens in health professionals. These professionals are directly exposed to TB and are considered to be a high risk population for latent tuberculosis infection (LTBI) and active TB. The primary aim of this study was to estimate the prevalence of LTBI among the clinical and administrative staff of an oncology referral hospital in Rio Grande do Sul. The secondary aim of this study was evaluate tuberculin skin test (TST) conversion rate and the risk factors for TST positivity in this population.

Methods: A cross-sectional study was carried out in a retrospective cohort with data collected in March 2013 and March 2014. Data of professionals from different hospital units were included. Those with induration ≥ 10 mm were considered as reactors, and conversion rate was assessed by an increase ≥ 10 mm in induration in the second TST compared with the first one.

Results: Among the 225 professionals evaluated in 2013, 135 (60%) were reactors and 90 (40%) were non-reactors. The mean age was 32.9 (± 9.55), 176 (78.22%) were female, and most of the reactors worked in the hospital for 4 years or less. Non-reactors in 2013 were recommended to repeat the test in 2014, and the conversion rate was 9.37%. There was no significant difference in prevalence among the different professional categories, and the assessed risk factors were not associated with ILTB.

Conclusions: The prevalence of LTBI in the study population was high, reinforcing the need to implement effective control measures to prevent LTBI in the hospital where the study was conducted.

Keywords: Latent tuberculosis; occupational risk; tuberculin test; vulnerable populations

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Publicado

2017-12-15

Como Citar

1.
Bavaresco ACW, Busatto C, Reis AJ, Krug SF, Segatto N, De Moura Valim AR, Nunes L de S, Stahlecker E, Hermes V, Nascimento TP, Carneiro M, Possuelo LG. Latent tuberculosis among professionals from a referral hospital in oncology. Clin Biomed Res [Internet]. 15º de dezembro de 2017 [citado 28º de março de 2024];37(4). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/75447

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