印度尼西亚jember市医院卫生保健工作者潜伏结核感染的危险因素。

Q4 Medicine
African Journal of Infectious Diseases Pub Date : 2020-12-14 eCollection Date: 2021-01-01 DOI:10.21010/ajid.v15i1.4
Hamidah Retno Wardani, Ni Made Mertaniasih, Soedarsono Soedarsono
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引用次数: 3

摘要

背景:由于暴露于含有结核分枝杆菌的液滴,医院结核病(TB)和非结核病单位的卫生保健工作者经历潜伏结核感染(LTBI)的风险很高。本研究旨在了解江伯市医院医护人员LTBI的发生率及危险因素。材料和方法:一项横断面研究,于2020年1月至3月在Jember City的两家医院进行。对结核病护理和非结核病护理单位的卫生保健工作者进行结核菌素皮肤试验(TST)检查,切线≥10 mm为LTBI阳性。胸片和临床检查,以排除活动性结核病和标准化的问卷调查也被使用。结果:128名医护人员完成了问卷调查、临床、结核菌素皮肤试验(TST)和胸片资料。LTBI阳性结果发生率为61.7% (n = 79)。工作场所接触结核病(p值= 0.219;Or = 1.643;CI = 0.742-3.641)和一个工作单位(p值= 0.102;Or = 0.760;CI = 0.559-1.031)与LTBI无关。专业(p值= 0.020;Or = 1.112;CI = 0.896-1.403),工作时长(p值= 0.039;Or = 2.984;CI = 1.067 ~ 8.342),卡介苗免疫(p值=0.000;Or = 0.151;CI = 0.052-0.438)与LTBI有重要关系。结论:本研究确定了印度尼西亚Jember市卫生保健工作者中结核病的高发病率、传播给卫生保健工作者的风险以及职业危险因素与LTBI之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RISK FACTORS OF LATENT TUBERCULOSIS INFECTION IN HEALTHCARE WORKERS AT HOSPITALS IN JEMBER CITY INDONESIA.

Background: Healthcare workers in Tuberculosis (TB) and non-TB units in hospitals have a high risk of experiencing Latent Tuberculosis Infection (LTBI), because of exposure to droplets containing Mycobacterium tuberculosis. This study aims to prove LTBI incidence and risk factors to healthcare workers at the hospital in Jember City.

Material and methods: a cross-sectional study, from January to March 2020 in two hospitals in Jember City. Healthcare workers in the TB care and non-TB care unit were examined using Tuberculin skin test (TST) with a cut off ≥ 10 mm for positive LTBI. Chest x-ray and clinical examination to rule out active TB and a standardized questionnaire were also used.

Results: 128 healthcare workers completed the questionnaires, clinical, tuberculin skin test (TST), and chest x-ray data. LTBI incidence of positive results 61.7% (n = 79). Contacts TB in the workplace (p value = 0.219; OR = 1.643; CI = 0.742-3.641) and a unit of work (p value = 0.102; OR = 0.760; CI = 0.559-1.031) has no relationship with LTBI. The profession (p value = 0.020; OR = 1.112; CI = 0.896-1.403), the duration of the work (p value = 0.039; OR = 2.984; CI = 1.067-8.342), and BCG immunization (p value =0.000; OR = 0.151; CI = 0.052-0.438) have important relationships with LTBI.

Conclusion: TB infection with a high incidence, a risk of transmission to healthcare workers, and a relationship between occupational risk factors and LTBI among healthcare workers in Jember City, Indonesia have been established in this study.

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来源期刊
African Journal of Infectious Diseases
African Journal of Infectious Diseases Medicine-Infectious Diseases
CiteScore
1.60
自引率
0.00%
发文量
32
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