American journal of industrial medicine · 2002
Historical risks of tuberculin skin test conversion among non-physician staff at a large urban hospital.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Miller Aubrey K, Tepper Allison, Sieber Karl
Аннотация
BACKGROUND: Nosocomial transmission of Mycobacterium tuberculosis among workers at a 1000-bed inner-city hospital led to an extensive evaluation of this risk among workers with potential exposure to TB patients or laboratory specimens.
METHODS: Retrospective cohort study to determine the incidence and risk of tuberculin skin test (TST) conversions among workers employed 1/1/90 to 9/30/92.
RESULTS: Personal, community, and occupational risk factors were evaluated in 2,362 workers with potential M. tuberculosis exposure and 886 workers with no known exposure. The 33-month cumulative rate of TST conversion was 5.8% for potentially exposed workers and 2.0% for controls (RR 3.6; 95% CI; 2.2-5.8). Among workers with potential M. tuberculosis exposure, statistically significantly elevated risks were found for nurses, laboratory technicians, pharmacy workers, phlebotomists, housekeepers, clerks, emergency room workers, and emergency responders.
CONCLUSIONS: Workers with patient contact and those employed in certain occupational groups were at increased risk for occupational M. tuberculosis infection.
METHODS: Retrospective cohort study to determine the incidence and risk of tuberculin skin test (TST) conversions among workers employed 1/1/90 to 9/30/92.
RESULTS: Personal, community, and occupational risk factors were evaluated in 2,362 workers with potential M. tuberculosis exposure and 886 workers with no known exposure. The 33-month cumulative rate of TST conversion was 5.8% for potentially exposed workers and 2.0% for controls (RR 3.6; 95% CI; 2.2-5.8). Among workers with potential M. tuberculosis exposure, statistically significantly elevated risks were found for nurses, laboratory technicians, pharmacy workers, phlebotomists, housekeepers, clerks, emergency room workers, and emergency responders.
CONCLUSIONS: Workers with patient contact and those employed in certain occupational groups were at increased risk for occupational M. tuberculosis infection.
Предметные рубрики MeSH
AdolescentAdultAge DistributionCohort StudiesConfidence IntervalsCross InfectionFemaleHospitals, UrbanHumansIncidenceInfectious Disease Transmission, Patient-to-ProfessionalMaleMiddle AgedMycobacterium tuberculosisOccupational HealthPersonnel, HospitalRetrospective StudiesRisk FactorsSex DistributionTuberculin TestTuberculosisUnited States