阿曼一家三级医疗医院中接触活动性肺结核的医护人员的潜伏性肺结核
Latent Tuberculosis in Health Care Workers Exposed to Active Tuberculosis in a Tertiary Care Hospital in Oman.
作者信息
Khamis Faryal, Al-Lawati Adil, Al-Zakwani Ibrahim, Al-Abri Seif, Al-Naamani Jaleelah, Al-Harthi Harith, Al-Jardani Amina, Al-Harthi Aliya
机构信息
Department of Internal Medicine, Royal Hospital, Muscat, Oman.
Department of Clinical Pharmacy and Pharmacology, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman; Gulf Health Research, Muscat, Oman.
出版信息
Oman Med J. 2016 Jul;31(4):298-303. doi: 10.5001/omj.2016.57.
OBJECTIVES
Data on the prevalence of tuberculosis (TB) in healthcare workers (HCW) in Oman and the Arabian Gulf is scarce. The aim of this study was to estimate the prevalence of latent tuberculosis (LTB) among HCW exposed to active TB in one of the tertiary care hospitals in Muscat.
METHODS
Exposed HCW were screened for LTB from January to June 2012 using skin tuberculin and serum interferon tests. Candidates were followed-up for a total of nine months. Descriptive statistics were used to summarize the data.
RESULTS
A total of 371 exposed HCW were involved in the study. The incidence of LTB in exposed HCW was 33.2% (n = 123). Almost 54% (66/123) of the HCW started treatment and only 42.4% (28/66) completed the full nine-month treatment course.
CONCLUSIONS
The high prevalence of LTBI in exposed HCW merits further evaluation of the screening and treatment programs in the country. Future countrywide studies are warranted to provide more precise statistics on the prevalence and management of this public health issue.
目的
阿曼及阿拉伯湾医护人员中结核病（TB）患病率的数据稀缺。本研究的目的是估计马斯喀特一家三级护理医院中接触活动性结核病的医护人员中潜伏性结核病（LTB）的患病率。
方法
2012年1月至6月，使用结核菌素皮肤试验和血清干扰素检测对接触过结核病的医护人员进行LTB筛查。对候选人员进行了为期9个月的随访。采用描述性统计方法对数据进行汇总。
结果
共有371名接触过结核病的医护人员参与了该研究。接触过结核病的医护人员中LTB的发病率为33.2%（n = 123）。几乎54%（66/123）的医护人员开始治疗，只有42.4%（28/66）完成了为期9个月的完整治疗疗程。
结论
接触过结核病的医护人员中LTBI的高患病率值得对该国的筛查和治疗方案进行进一步评估。有必要开展未来的全国性研究，以提供关于这一公共卫生问题患病率和管理的更精确统计数据。
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