Pulmonary Tuberculosis Outbreak among Healthcare Workers in Vachira Phuket Hospital

Authors

  • วีรวัฒน์ ยอแสงรัตน์ Vachira Phuket Hospital

Keywords:

Pulmonary, Tuberculosis, Healthcare Workers, Vachira Phuket Hospital

Abstract

The increasing incidence of pulmonary tuberculosis among the healthcare workers in Vachira Phuket Hospital was noticed. The purpose of this study was to verify the outbreak of tuberculosis among healthcare workers (HCWs) at a tertiary care, public hospital in Phuket, Vachira Phuket Hospital. The data of HCWs diagnosed with TB were collected from medical records, chest films and laboratory findings. The incidence and relative risk (RR) of tuberculosis among HCWs during 2000 and 2005 were analysed and evaluated retrospectively, then comparing to TB incidence in the general population of Thailand. In this study there were 13 HCWs with tuberculosis (5 men and 8 women). There was one doctor, 9 nurses and 3 paramedics, out of an averaged of 1,233 workers per year over the study period. The incidence of TB among the general population of Thailand was 48.37 of 100,000 persons. The incidence of tuberculosis in all HCWs of the hospital was 1054.34 of 100,000 persons (RR 21.79), 81.1 of 100,000 persons in doctor (RR 1.68), 729.97 of 100,000 persons in nurses (RR 15.1) and 243.31 of 100,000 persons in paramedics (RR 5.03 ). In conclusion HCWs in Vachira Phuket Hospital have higher risk for being sick with tuberculosis than general population, especially among the nurses.

References

1. World Health Organization. Global Tuberculosis control: Surveillance, planning financing: WHO Report 2006. Geneva: WHO; 2006

2. Mario C. Ravigliore, Richard J. O'brien Tubereulosis. In: Kasper DL, Braunwald E, Fauci AS , Hause SL, Longo DL, Jameson JL, editors. Harrison's Principles of internal medicine. 16th ed. New York; Me Graw - Hill; 2005: 954-955

3. ทิพยวรรณ คูศิริวิเชียร. ความล่าช้าในการมารับการตรวจและพฤติกรรมการแสวงหา การรักษาของผู้ป่วยวัณโรคที่มารักษาในโรงพยาบาลพระสมุทรเจดีย์สวาทยานนท์. วารสารควบคุมโรค. 2550; 33: 134-139

4. Hosoglu S. Tanrikulo AC. Daglie , Aralin S. Tuberculosis among Healthcare workers in a short working period. Am J infect Control. 2005; 33(1): 23-6

5. Madhukar Pai, Kaustath Gokhale, Rajnish Joshi, et al. Mycobacterium tuberculosis infeetion in healthcare workers in rural India comparison of a whole - blood interferon gamma assay with tuberculin skin testing. JAMA. 2005; 293: 2746-2755

6. Reuben Granich, Naney J. Binkin, William R. Jarvis and Patricia M.Simone . Guidelines for the prevention of tuberculosis in health care facilities in resource - limitted settings. WHO / CDS / TB / 99.269, Geneva: WHO, 1999

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Published

2018-11-18

How to Cite

1.
ยอแสงรัตน์ ว. Pulmonary Tuberculosis Outbreak among Healthcare Workers in Vachira Phuket Hospital. Dis Control J [Internet]. 2018 Nov. 18 [cited 2024 Mar. 28];33(4):254-8. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/155982

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Original Article