PREVALENCE AND RISK FACTORS FOR LATENT TUBERCULOSIS INFECTION AMONG HEALTHCARE WORKERS IN BACH MAI HOSPITAL, VIET NAM

Trần Thu Trang1,, Vũ Văn Giáp2,3, Chu Thị Hạnh2
1 Bach Mai Hospital
2 Respiratory Center, Bach Mai Hospital
3 Hanoi Medical University

Main Article Content

Abstract

Health care workers (HCWs) are exposed to patients with tuberculosis (TB) and are at risk of nosocomial infection. Most of them acquire Mycobacterium tuberculosis but do not progress to the active disease- latent tuberculosis infection (LTBI). The objective of this study was to assess the prevalence and risk factors associated with LTBI among HCWs in Bach Mai Hospital. Methods: This cross-sectional study of HCWs was conducted from February to December in 2018. Participants (n = 794) were administered a questionnaire on demographics and occupational tuberculosis exposure and had a tuberculin skin test (TST) administered. Results: The overall prevalence of LTBI among HCWs was 44,1%. Factors significantly associated with LTBI were working duration in healthcare over one year [8.8(CI:1.14;69)]; worked as a nursing assistant [2,32(CI:1.16;4.64)], those who had no BCG vacccination in history [4.91(CI:3.52;6.88)] and recent history of contact to TB patients diagnosed TB without any protection measures [1.59(CI:1.12;2.02)]. Conclusions: The prevalence of LTBI in Bach Mai hospital was high. Adequate infection control measures are warranted to prevent and control transmission in health care settings.

Article Details

References

1. 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(6):593-605.
2. Joshi R, Reingold AL, Menzies D, Pai M. Tuberculosis among Health-Care Workers in Low- and Middle-Income Countries: A Systematic Review. PLoS Med. 2006;3(12):e494. doi:10.1371/journal.pmed.0030494
3. Christopher DJ, Daley P, Armstrong L, et al. Tuberculosis Infection among Young Nursing Trainees in South India. Goletti D, ed. PLoS ONE. 2010;5(4):e10408. doi:10.1371/journal.pone.0010408
4. Dyrhol-Riise AM, Gran G, Wentzel-Larsen T, Blomberg B, Haanshuus CG, Mørkve O. Diagnosis and follow-up of treatment of latent tuberculosis; the utility of the QuantiFERON-TB Gold In-tube assay in outpatients from a tuberculosis low-endemic country. BMC Infect Dis. 2010;10(1):57. doi:10.1186/1471-2334-10-57
5. Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection. Accessed August 29, 2021. https://www.cdc.gov/mmwr/ preview/ mmwrhtml/rr4906a1.htm
6. Lien LT, Hang NTL, Kobayashi N, et al. Prevalence and Risk Factors for Tuberculosis Infection among Hospital Workers in Hanoi, Viet Nam. Pai M, ed. PLoS ONE. 2009;4(8):e6798. doi:10.1371/journal.pone.0006798
7. Belo C, Naidoo S. Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique. BMC Infect Dis. 2017;17(1):408. doi:10.1186/s12879-017-2516-4
8. Rafiza S, Rampal KG, Tahir A. Prevalence and risk factors of latent tuberculosis infection among health care workers in Malaysia. BMC Infect Dis. 2011;11(1):19. doi:10.1186/1471-2334-11-19
9. Nasreen S, Shokoohi M, Malvankar-Mehta MS. Prevalence of Latent Tuberculosis among Health Care Workers in High Burden Countries: A Systematic Review and Meta-Analysis. Wilkinson KA, ed. PLoS ONE. 2016;11(10):e0164034. doi:10.1371/journal.pone.0164034