D Klimuk1, H Hurevich1, A D Harries2, A Babrukevich1, K Kremer3, R Van den Bergh4, C D Acosta3, A Astrauko1, A Skrahina1. 1. Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus. 2. International Union Against Tuberculosis and Lung Disease, Paris, France ; London School of Hygiene & Tropical Medicine, London, UK. 3. Tuberculosis and M/XDR-TB Programme, Division of Communicable Diseases, Health Security & Environment, World Health Organization Regional Office for Europe, Copenhagen, Denmark. 4. Medical Department, Brussels Operational Center, Médecins Sans Frontières, MSF-Luxembourg, Luxembourg.
Abstract
SETTING: Tuberculosis (TB), including drug-resistant TB, is a serious problem in Belarus. OBJECTIVES: To determine the prevalence of TB among health care workers (HCWs) along with patient characteristics, treatment outcomes and drug resistance patterns between 2008 and 2012. DESIGN: A retrospective national record review. RESULTS: There were 116 HCWs with TB. Case notification rates were higher among HCWs than in the general population (349 vs. 40/100 000 in 2012). Most HCWs with TB were nurses (n = 46, 40%) or nurse assistants (n = 37, 32%), female (n = 100, 86%) and aged 25-44 years (n = 84, 72%). Most common places of work for HCWs with TB were multidrug-resistant (MDR-) and extensively drug-resistant (XDR-TB) wards (n = 23, 20%), general medical (n = 26, 22%) and non-medical (n = 34, 29%) departments. All HCWs had pulmonary TB, 107 (92%) had new TB and 103 (89%) had negative sputum smears. Of the 38 (33%) with culture and drug susceptibility testing (DST), 28 (74%) had MDR-/XDR-TB. In 109 HCWs evaluated for final treatment outcomes, 97 (89%) were successfully treated, and their results were not affected by DST status. CONCLUSION: This study highlights the high prevalence of recorded TB in HCWs in TB health facilities in Belarus: there is a need to better understand and rectify this problem.
SETTING: Tuberculosis (TB), including drug-resistant TB, is a serious problem in Belarus. OBJECTIVES: To determine the prevalence of TB among health care workers (HCWs) along with patient characteristics, treatment outcomes and drug resistance patterns between 2008 and 2012. DESIGN: A retrospective national record review. RESULTS: There were 116 HCWs with TB. Case notification rates were higher among HCWs than in the general population (349 vs. 40/100 000 in 2012). Most HCWs with TB were nurses (n = 46, 40%) or nurse assistants (n = 37, 32%), female (n = 100, 86%) and aged 25-44 years (n = 84, 72%). Most common places of work for HCWs with TB were multidrug-resistant (MDR-) and extensively drug-resistant (XDR-TB) wards (n = 23, 20%), general medical (n = 26, 22%) and non-medical (n = 34, 29%) departments. All HCWs had pulmonary TB, 107 (92%) had new TB and 103 (89%) had negative sputum smears. Of the 38 (33%) with culture and drug susceptibility testing (DST), 28 (74%) had MDR-/XDR-TB. In 109 HCWs evaluated for final treatment outcomes, 97 (89%) were successfully treated, and their results were not affected by DST status. CONCLUSION: This study highlights the high prevalence of recorded TB in HCWs in TB health facilities in Belarus: there is a need to better understand and rectify this problem.
Authors: M Edginton; D Enarson; R Zachariah; T Reid; S Satyanarayana; K Bissell; S G Hinderaker; T Harries Journal: Public Health Action Date: 2012-03-21
Authors: Ron Borland; Lin Li; Pete Driezen; Nick Wilson; David Hammond; Mary E Thompson; Geoffrey T Fong; Ute Mons; Marc C Willemsen; Ann McNeill; James F Thrasher; K Michael Cummings Journal: Addiction Date: 2012-01 Impact factor: 6.526
Authors: A D Harries; A Kamenya; D Namarika; I W Msolomba; F M Salaniponi; D S Nyangulu; P Nunn Journal: Trans R Soc Trop Med Hyg Date: 1997 Jan-Feb Impact factor: 2.184
Authors: A R Escombe; L Huaroto; E Ticona; M Burgos; I Sanchez; L Carrasco; E Farfán; F Flores; D A J Moore Journal: Int J Tuberc Lung Dis Date: 2010-09 Impact factor: 2.373
Authors: Alena Skrahina; Henadz Hurevich; Aksana Zalutskaya; Evgeni Sahalchyk; Andrei Astrauko; Sven Hoffner; Valiantsin Rusovich; Andrei Dadu; Pierpaolo de Colombani; Masoud Dara; Wayne van Gemert; Matteo Zignol Journal: Bull World Health Organ Date: 2012-11-26 Impact factor: 9.408
Authors: Paul D Blanc; Isabella Annesi-Maesano; John R Balmes; Kristin J Cummings; David Fishwick; David Miedinger; Nicola Murgia; Rajen N Naidoo; Carl J Reynolds; Torben Sigsgaard; Kjell Torén; Denis Vinnikov; Carrie A Redlich Journal: Am J Respir Crit Care Med Date: 2019-06-01 Impact factor: 21.405