Soto-Cabezas Mirtha Gabriela, Chávez-Pachas Ana María, Arrasco-Alegre Juan Carlos, Yagui-Moscoso Martin Javier Alfredo
Facultad de Medicina, Universidad Nacional San Luis Gonzaga. Ica, Perú.
Centro Nacional de Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud. Lima, Perú.
Rev Peru Med Exp Salud Publica. 2016 Oct-Dec;33(4):607-615. doi: 10.17843/rpmesp.2016.334.2542.
OBJECTIVES.: To describe the characteristics of tuberculosis epidemiology in Peruvian health workers.
MATERIALS AND METHODS.: A descriptive study was performed. It included all health workers with tuberculosis listed in the national epidemiological surveillance system of the Peruvian Ministry of Health, during 2013, 2014, and 2015.
RESULTS.: A total of 755 cases of tuberculosis in health workers were reported: 60% worked in hospitals, 28% worked in primary-care facilities, and 12% worked in private facilities. In 57% of the cases, they worked in health facilities in Lima Metropolitan area and Callao. The average age of workers was 38 years (ranging from 19 to 89 years), and 63.6% were women. Of the cases, 6.1% were resistant, mainly multidrug-resistant tuberculosis, 67% of the cases had bacteriological confirmation of pulmonary tuberculosis. Health professionals and technicians represented 82.5% of the cases, and 55.2% corresponded to doctor's offices, hospital admissions, and emergency rooms, the areas where they worked.
CONCLUSIONS.: Tuberculosis poses a significant work risk for health workers of both public and private facilities. It mainly affects health professionals and technicians providing direct care and assistance to patients in large Peruvian hospitals.
描述秘鲁卫生工作者结核病流行病学特征。
开展一项描述性研究。研究纳入2013年、2014年和2015年秘鲁卫生部国家流行病学监测系统中登记的所有患结核病的卫生工作者。
共报告755例卫生工作者结核病病例：60%在医院工作，28%在初级保健机构工作，12%在私立机构工作。57%的病例在利马都会区和卡亚俄的卫生机构工作。患者平均年龄为38岁（19岁至89岁），63.6%为女性。病例中6.1%耐药，主要是耐多药结核病，67%的病例经细菌学确诊为肺结核。卫生专业人员和技术人员占病例的82.5%，55.2%的病例来自其工作的医生办公室、医院住院部和急诊室。
结核病对公立和私立机构的卫生工作者均构成重大工作风险。它主要影响在秘鲁大型医院为患者提供直接护理和帮助的卫生专业人员和技术人员。
