Prevalence of Asymptomatic Pulmonary Tuberculosis in Healthcare Workers in a University hospital

Authors

  • Suntaree Jeejaila Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Narongpon Dumavibhat Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Sitthiphon Bunman Department of Internal Medicine, Faculty of Medicine, Thammasat University
  • Arisara Chuaypeng Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Wiyachatr Monklang Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Pennapa Kaweewongprasert Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Sichon Luerithiphong Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Dittapol Muntham Department of Mathematics, Faculty of Science and Technology, Rajamangala University of Technology Suvarnabhumi
  • Thirajit Boonsaen Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Supakorn Chansaengpetch Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University
  • Tirathat Virojskulchai Department of Preventive and Social medicine Faculty of Medicine Siriraj hospital Mahidol University

Keywords:

pulmonary tuberculosis, healthcare worker, annual health check-up, active case finding

Abstract

This study aims to investigate the prevalence of asymptomatic healthcare workers with pulmonary tuberculosis in one university hospital. The study was a retrospective chart review of healthcare workers who underwent the annual screening chest radiograph from October 1, 2014 to September 30, 2019.​ The data was analyzed and presented by frequency and percentage. There were 73 patients during the 5-year period, and the prevalence was 0.17, 0.18, 0.13, 0.14, and 0.09 percent, respectively. 78.1% were female, while the mean age was 32.49 years. 47.9% were in the age group 20-30 years. 53.4% had normal body mass index (BMI), while 26% had low BMI. 18 patients (24.7%) had positive sputum culture. The implications of this study may lead to surveillance and policy planning, e.g., active case finding with screening chest x-ray in at-risk population.

References

World Health Organization. Global tuberculosis report 2020 [internet]. 2020 [cited 2021 Jun 1]. 208 p. Available from: https://www.who.int/publications/i/item/9789240013131

Department of Disease Control, Division of Tuberculosis. National tuberculosis control programme guidelines, Thailand 2018. Nonthaburi: Department of Disease Control, Division of Tuberculosis; 2018.

Iemrod k, Swaddiwudhipong W. Situation of tuberculosis among hospital personnel of the Ministry of Public Health, Tak province. Journal of Health Systems Research 2017;11:286-95.

Wang XN, He TL, Geng MJ, Song YD, Wang JC, Liu M, et al. Prevalence of and risk factors for tuberculosis among healthcare workers in Chinese tuberculosis facilities. Infect Dis Poverty 2018;7:26.

Theeratrakoolchai O, Chaivatcharaporn K. Prevalence of pulmonary tuberculosis and associated factors among hospital personnel in Samutprakarn Hospital during 2014-2018. Journal of Preventive Medicine of Thailand 2019;9:166-78.

Menzies D, Joshi R, Pai M. Risk of tuberculosis infection and disease associated with work in health care settings. Int J Tuberc Lung Dis 2007;11:593-605.

World Health Organization. Implementing the WHO stop TB strategy: a handbook for national tuberculosis control programmes [Internet]. 2008 [cited 2021 Jun 1]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK310745/.

Centers for Disease Control and Prevention. The use of preventive therapy for tuberculous infection in the United States recommendations of The Advisory Committee for Elimination of Tuberculosis [internet]. 1990 [cited 2021 Jun 1]. Available from: https://www.cdc.gov/mmwr/preview/mmwrhtml/00001643.htm.

Workneh MH, Bjune GA, Yimer SA. Prevalence and associated factors of tuberculosis and diabetes mellitus comorbidity: a systematic review. PLoS One 2017;12:e0175925.

Leung CC, Lam TH, Chan WM, Yew WW, Ho KS, Leung G, et al. Lower risk of tuberculosis in obesity. Arch Intern Me 2007;167:1297-304.

Kim SK, Ye S, Ha E, Chun EM. Association of body mass index with incident tuberculosis in Korea. PLoS One 2018;13:e0195104.

Tudor C, Van der Walt ML, Margot B, Dorman SE, Pan WK, Yenokyan G. Occupational risk factors for tuberculosis among healthcare workers in KwaZulu-Natal, South Africa. Clin Infect Dis 2016;62(Suppl3):S255-61.

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Published

2021-12-24

How to Cite

1.
Jeejaila S, Dumavibhat N, Bunman S, Chuaypeng A, Monklang W, Kaweewongprasert P, Luerithiphong S, Muntham D, Boonsaen T, Chansaengpetch S, Virojskulchai T. Prevalence of Asymptomatic Pulmonary Tuberculosis in Healthcare Workers in a University hospital. JPMAT [Internet]. 2021 Dec. 24 [cited 2024 Nov. 23];11(3):546-57. Available from: https://he01.tci-thaijo.org/index.php/JPMAT/article/view/251738

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Original Article