SETTING: Samara Oblast, Russia. OBJECTIVE: To compare the rates of tuberculosis (TB) in health care workers (HCWs) working in TB services, general health services (GHS) and the general population in a region of the Russian Federation. DESIGN: Analysis of notification rates of TB among HCWs, GHS workers and the general population during the 9-year period from 1994 to 2002. RESULTS: During 1994-2002, TB incidence among staff employed at the TB services in Samara Oblast was ten times higher than among the general population, reaching 741.6/100 000 person years at risk. Staff working at in-patient TB facilities were found to be at highest risk, with an incidence rate ratio of 17.7 (95% CI 11.6-27.0) compared to HCWs at the GHS. CONCLUSIONS: HCWs at TB services in the Russian Federation are at substantially increased risk for TB, suggesting significant risks from nosocomial transmission. Control of institutional spread of TB in the Russian Federation is an area that requires urgent attention, especially given the epidemic of human immunodeficiency virus that Russia is currently witnessing.
SETTING: Samara Oblast, Russia. OBJECTIVE: To compare the rates of tuberculosis (TB) in health care workers (HCWs) working in TB services, general health services (GHS) and the general population in a region of the Russian Federation. DESIGN: Analysis of notification rates of TB among HCWs, GHS workers and the general population during the 9-year period from 1994 to 2002. RESULTS: During 1994-2002, TB incidence among staff employed at the TB services in Samara Oblast was ten times higher than among the general population, reaching 741.6/100 000 person years at risk. Staff working at in-patient TB facilities were found to be at highest risk, with an incidence rate ratio of 17.7 (95% CI 11.6-27.0) compared to HCWs at the GHS. CONCLUSIONS: HCWs at TB services in the Russian Federation are at substantially increased risk for TB, suggesting significant risks from nosocomial transmission. Control of institutional spread of TB in the Russian Federation is an area that requires urgent attention, especially given the epidemic of human immunodeficiency virus that Russia is currently witnessing.
Authors: Max R O'Donnell; Julie Jarand; Marian Loveday; Nesri Padayatchi; Jennifer Zelnick; Lise Werner; Kasavan Naidoo; Iqbal Master; Garth Osburn; Charlotte Kvasnovsky; Karen Shean; Madhukar Pai; Martie Van der Walt; Charles R Horsburgh; Keertan Dheda Journal: Ann Intern Med Date: 2010-10-19 Impact factor: 25.391
Authors: José E Pérez-Lu; Cesar P Cárcamo; Patricia J García; Alejandro Bussalleu; Antonio Bernabé-Ortiz Journal: Tuberculosis (Edinb) Date: 2012-10-30 Impact factor: 3.131
Authors: Francis Drobniewski; Yanina Balabanova; Elena Zakamova; Vladyslav Nikolayevskyy; Ivan Fedorin Journal: PLoS Med Date: 2007-02 Impact factor: 11.069