do Prado Thiago Nascimento, Galavote Heleticia Scabelo, Brioshi Ana Paula, Lacerda Thamy, Fregona Geisa, Detoni Valdério do Valle, Lima Rita de Cássia Duarte, Dietze Reynaldo, Maciel Ethel Leonor Noia
Epidemiology Laboratory of Núcleo de Doenças Infecciosas da Universidade Federal do Espírito Santo, Vitória, Brazil.
J Bras Pneumol. 2008 Aug;34(8):607-13. doi: 10.1590/s1806-37132008000800011.
To describe the epidemiological profile of tuberculosis cases reported among health care workers in the Tuberculosis Control Program of the Cassiano Antonio of Moraes University Hospital in Vitoria, Brazil.
A retrospective descriptive study of secondary data was conducted between 2002 and 2006.
Twenty-five cases of health care workers with tuberculosis were reported: 8 in nursing technicians (32%); 4 in doctors (16%); 3 in nurses (12%); 2 in radiology technicians (8%) and 8 in professionals from other categories (32%). Of those 25 health care workers, 14 (56%) were male and 11 (44%) were female. The incidence of the disease was highest among those from 35 to 39 years of age. The predominant clinical presentation was extrapulmonary (12 cases, 48%), followed by pulmonary (11 cases, 44%) and a combination of the two (2 cases, 8%). Regarding comorbidities, AIDS, alcoholism and smoking, respectively, were present in 33.3% of the study population. Outcomes were as follows: 22 cases of cure (88%); 2 transfers (8%); and 1 death (4%). The proportion of health care workers diagnosed with tuberculosis in the period studied was 2.53%.
The results show the need for heath care workers who work in the tuberculosis control program to fill out the field "professional occupation" on the tuberculosis case registry database reporting forms. In addition, this situation draws attention to the need to implement an occupational tuberculosis control program.
描述巴西维多利亚市莫赖斯大学医院卡西亚诺·安东尼奥结核病控制项目中报告的医护人员结核病病例的流行病学概况。
对2002年至2006年的二手数据进行回顾性描述性研究。
报告了25例医护人员结核病病例：护理技术员8例（32%）；医生4例（16%）；护士3例（12%）；放射技术员2例（8%）；其他类别专业人员8例（32%）。在这25名医护人员中，14名（56%）为男性，11名（44%）为女性。该疾病发病率在35至39岁人群中最高。主要临床表现为肺外结核（12例，48%），其次是肺结核（11例，44%）以及两者兼有（2例，8%）。关于合并症，研究人群中分别有33.3%的人患有艾滋病、酗酒和吸烟。结果如下：22例治愈（88%）；2例转诊（8%）；1例死亡（4%）。在所研究期间被诊断为结核病的医护人员比例为2.53%。
结果表明，参与结核病控制项目的医护人员需要在结核病病例登记数据库报告表格中填写“职业”一栏。此外，这种情况提醒人们需要实施职业性结核病控制项目。
