Tuberculosis en el personal de salud

C. Alberto Fica, D. Marcela Cifuentes, H. M.Cristina Ajenjo, P. M.Irene Jemenao, G. Alejandra Zambrano, V. Naldy Febré, M. Luis Delpiano, P. Alexis Diomedi, C. Paulina Ramonda

Resultado de la investigación: Article

14 Citas (Scopus)

Resumen

Tuberculosis (TB) is an occupational risk hazard that explains 5 to 5.361 additional cases of TB per 100.000 individuals among healthcare workers (HCW) in relation to general population in developing countries. For each clinical case a number of additional infections are occurring, that can be detected by tuberculin skin test conversion among non-BCG vaccinated HCW or by interferon-gamma testing. Risk factors for HCW infection include number of TB patients examined, job characteristics and place of work, delay in diagnostic suspicion, patients with multidrug resistant strains, limited access to appropriate ventilation systems, noncompliance with aerosol dissemination precautions, immune suppressed and/or malnourished HCW. Molecular studies suggest that only 32 to 42% of TB cases among HCW are related to occupational exposure. Useful measures to prevent occupational TB acquisition include a number of administrative-, infrastructure- and personal-related measures that have proven to be successful in reducing occurrence of new infections including clinical TB cases among HCW. In Chile, two official government sponsored guidelines are currently available for preventing TB infection among HCW, issued by the national TBC Control Program and by the National Nosocomial infection Control Program. Major differences in recommendations between these guidelines indicate that an update is urgently needed.

Idioma originalSpanish
Páginas (desde-hasta)243-255
Número de páginas13
PublicaciónRevista Chilena de Infectologia
Volumen25
N.º4
EstadoPublished - 1 ago 2008

Huella dactilar

Tuberculosis
Delivery of Health Care
Infection
Guidelines
Tuberculin Test
Chile
Occupational Exposure
Infection Control
Cross Infection
Skin Tests
Aerosols
Workplace
Developing Countries
Interferon-gamma
Ventilation
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Citar esto

Fica, C. A., Cifuentes, D. M., Ajenjo, H. M. C., Jemenao, P. M. I., Zambrano, G. A., Febré, V. N., ... Ramonda, C. P. (2008). Tuberculosis en el personal de salud. Revista Chilena de Infectologia, 25(4), 243-255.
Fica, C. Alberto ; Cifuentes, D. Marcela ; Ajenjo, H. M.Cristina ; Jemenao, P. M.Irene ; Zambrano, G. Alejandra ; Febré, V. Naldy ; Delpiano, M. Luis ; Diomedi, P. Alexis ; Ramonda, C. Paulina. / Tuberculosis en el personal de salud. En: Revista Chilena de Infectologia. 2008 ; Vol. 25, N.º 4. pp. 243-255.
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Fica, CA, Cifuentes, DM, Ajenjo, HMC, Jemenao, PMI, Zambrano, GA, Febré, VN, Delpiano, ML, Diomedi, PA & Ramonda, CP 2008, 'Tuberculosis en el personal de salud', Revista Chilena de Infectologia, vol. 25, n.º 4, pp. 243-255.

Tuberculosis en el personal de salud. / Fica, C. Alberto; Cifuentes, D. Marcela; Ajenjo, H. M.Cristina; Jemenao, P. M.Irene; Zambrano, G. Alejandra; Febré, V. Naldy; Delpiano, M. Luis; Diomedi, P. Alexis; Ramonda, C. Paulina.

En: Revista Chilena de Infectologia, Vol. 25, N.º 4, 01.08.2008, p. 243-255.

Resultado de la investigación: Article

TY - JOUR

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AU - Fica, C. Alberto

AU - Cifuentes, D. Marcela

AU - Ajenjo, H. M.Cristina

AU - Jemenao, P. M.Irene

AU - Zambrano, G. Alejandra

AU - Febré, V. Naldy

AU - Delpiano, M. Luis

AU - Diomedi, P. Alexis

AU - Ramonda, C. Paulina

PY - 2008/8/1

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N2 - Tuberculosis (TB) is an occupational risk hazard that explains 5 to 5.361 additional cases of TB per 100.000 individuals among healthcare workers (HCW) in relation to general population in developing countries. For each clinical case a number of additional infections are occurring, that can be detected by tuberculin skin test conversion among non-BCG vaccinated HCW or by interferon-gamma testing. Risk factors for HCW infection include number of TB patients examined, job characteristics and place of work, delay in diagnostic suspicion, patients with multidrug resistant strains, limited access to appropriate ventilation systems, noncompliance with aerosol dissemination precautions, immune suppressed and/or malnourished HCW. Molecular studies suggest that only 32 to 42% of TB cases among HCW are related to occupational exposure. Useful measures to prevent occupational TB acquisition include a number of administrative-, infrastructure- and personal-related measures that have proven to be successful in reducing occurrence of new infections including clinical TB cases among HCW. In Chile, two official government sponsored guidelines are currently available for preventing TB infection among HCW, issued by the national TBC Control Program and by the National Nosocomial infection Control Program. Major differences in recommendations between these guidelines indicate that an update is urgently needed.

AB - Tuberculosis (TB) is an occupational risk hazard that explains 5 to 5.361 additional cases of TB per 100.000 individuals among healthcare workers (HCW) in relation to general population in developing countries. For each clinical case a number of additional infections are occurring, that can be detected by tuberculin skin test conversion among non-BCG vaccinated HCW or by interferon-gamma testing. Risk factors for HCW infection include number of TB patients examined, job characteristics and place of work, delay in diagnostic suspicion, patients with multidrug resistant strains, limited access to appropriate ventilation systems, noncompliance with aerosol dissemination precautions, immune suppressed and/or malnourished HCW. Molecular studies suggest that only 32 to 42% of TB cases among HCW are related to occupational exposure. Useful measures to prevent occupational TB acquisition include a number of administrative-, infrastructure- and personal-related measures that have proven to be successful in reducing occurrence of new infections including clinical TB cases among HCW. In Chile, two official government sponsored guidelines are currently available for preventing TB infection among HCW, issued by the national TBC Control Program and by the National Nosocomial infection Control Program. Major differences in recommendations between these guidelines indicate that an update is urgently needed.

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KW - Healthcare workers

KW - Prevention

KW - Risk factors

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JF - Revista Chilena de Infectologia

SN - 0716-1018

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Fica CA, Cifuentes DM, Ajenjo HMC, Jemenao PMI, Zambrano GA, Febré VN y otros. Tuberculosis en el personal de salud. Revista Chilena de Infectologia. 2008 ago 1;25(4):243-255.