Wahab Farhanah Abd, Abdullah Sarimah, Abdullah Jafri Malin, Jaafar Hasnan, Noor Siti Suraiya Md, Mohammad Wan Mohd Zahiruddin Wan, Yusoff Abdul Aziz Mohamed, Tharakan John, Bhaskar Shalini, Sangu Muthuraju, Mahmood Mohd Shah, Kassim Fauziah, Rafia Md Hanip, Haspani Mohammed Safari Mohammed, Alias Azmi, Pando Rogelio Hernández
Unit of Biostatistics and Research Methodology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Center for Neuroscience Services and Research (P3Neuro), Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
Malays J Med Sci. 2016 Nov;23(6):25-34. doi: 10.21315/mjms2016.23.6.3. Epub 2016 Dec 7.
Ranking as the most communicable disease killer worldwide, tuberculosis, has accounted with a total of 9.6 million new tuberculosis cases with 1.5 million tuberculosis-related deaths reported globally in 2014. Tuberculosis has remain as an occupational hazard for healthcare workers since 1920s and due to several tuberculosis outbreaks in healthcare settings in the early 1990s, the concern about the transmission to both patients and healthcare workers has been raised. Healthcare workers have two to three folds greater the risk of active tuberculosis than the general population. Several studies on knowledge, attitude and practices on tuberculosis among healthcare workers worldwide have revealed that majority of the participated healthcare workers had good knowledge on tuberculosis. Most of the healthcare workers from South India and South Africa also reported to have positive attitude whereas a study in Thailand reported that most of the healthcare providers have negative attitude towards tuberculosis patients. Nevertheless, majority of the healthcare workers have low level of practice on tuberculosis prevention. An improved communication between healthcare workers and the patients as well as their families is the key to better therapeutic outcomes with good knowledge, attitude and preventive practice towards tuberculosis.
结核病是全球传染性最强的疾病杀手，2014年全球共报告了960万例新的结核病病例，其中150万人死于结核病相关疾病。自20世纪20年代以来，结核病一直是医护人员的职业危害，由于20世纪90年代初医疗机构中发生了几起结核病疫情，人们对结核病传播给患者和医护人员的担忧加剧。医护人员患活动性结核病的风险比普通人群高两到三倍。全球范围内对医护人员关于结核病的知识、态度和做法的多项研究表明，大多数参与研究的医护人员对结核病有良好的了解。印度南部和南非的大多数医护人员也报告说态度积极，而泰国的一项研究报告称，大多数医护人员对结核病患者持消极态度。然而，大多数医护人员在结核病预防方面的实践水平较低。医护人员与患者及其家属之间加强沟通是实现更好治疗效果的关键，同时要对结核病有良好的认识、态度和预防措施。
