Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile

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

Resultado de la investigación: Article

8 Citas (Scopus)

Resumen

Objective: To evaluate the risk of tuberculosis (TBC) among health care workers (HCW) of the Southern Metropolitan Health Service (SMHS) of Santiago, Chile. Method: A retrospective study using records of patients receiving TBC treatment in the SMHS from 2001 to 2006 was performed, in which HCW were identified. Total population of HCWs at risk was calculated using annual records of personnel hired at the SMHS. Data on TBC cases and rates were compared against data of the SMSH and hazard ratio (HR) and confidence intervals obtained. Results: Fourteen cases were identified, predominantly among auxiliary personnel (n; 4, 35.7%), nursing staff and ambulance drivers (n: 2, 14.3% each). Cases occurred in personnel from 41.7% of hospitals and 10.3% of ambulatory care centers within the SMHS and 92.2% involved personnel with direct patient care or contact. Pulmonary localization was seen in 11 (78.6%), and more than half (57.2%) had a positive sputum stain or culture. All cases initiated treatment, but 1 abandoned it and other died of liver failure associated to cirrhosis (7.1% each). Between 2003 and 2006, the annual rate of TBC among HCW ranged between 0 and 79 per 100.000, and during 2004 it -10.62). Conclusions: Despite TBC rate decline in Chile, this disease still represents a significant occupational risk for HCW. Notably, more than half of cases among HCWs are contagious, and despite treatment, some have a lethal evolution.

Idioma originalSpanish
Páginas (desde-hasta)34-38
Número de páginas5
PublicaciónRevista Chilena de Infectologia
Volumen26
N.º1
EstadoPublished - feb 2009

Huella dactilar

United States Public Health Service
Chile
Tuberculosis
Health Services
Delivery of Health Care
Hospital Personnel
Ambulances
Nursing Staff
Liver Failure
Occupational Health
Ambulatory Care
Sputum
Patient Care
Fibrosis
Coloring Agents
Therapeutics
Retrospective Studies
Confidence Intervals
Lung

ASJC Scopus subject areas

  • Infectious Diseases
  • Public Health, Environmental and Occupational Health

Citar esto

Fica, A. C., Ramonda, P. C., Jemenao, M. I. P., Zambrano, A. G., Cifuentes, M. D., Febre, N. V., ... Diomedi, A. P. (2009). Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile. Revista Chilena de Infectologia, 26(1), 34-38.
Fica, Alberto C. ; Ramonda, Paulina C. ; Jemenao, M. Irene P ; Zambrano, Alejandra G. ; Cifuentes, Marcela D. ; Febre, Naldy V. ; Ajenjo, M. Cristina H ; Delpiano, Luis M. ; Diomedi, Alexis P. / Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile. En: Revista Chilena de Infectologia. 2009 ; Vol. 26, N.º 1. pp. 34-38.
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title = "Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile",
abstract = "Objective: To evaluate the risk of tuberculosis (TBC) among health care workers (HCW) of the Southern Metropolitan Health Service (SMHS) of Santiago, Chile. Method: A retrospective study using records of patients receiving TBC treatment in the SMHS from 2001 to 2006 was performed, in which HCW were identified. Total population of HCWs at risk was calculated using annual records of personnel hired at the SMHS. Data on TBC cases and rates were compared against data of the SMSH and hazard ratio (HR) and confidence intervals obtained. Results: Fourteen cases were identified, predominantly among auxiliary personnel (n; 4, 35.7{\%}), nursing staff and ambulance drivers (n: 2, 14.3{\%} each). Cases occurred in personnel from 41.7{\%} of hospitals and 10.3{\%} of ambulatory care centers within the SMHS and 92.2{\%} involved personnel with direct patient care or contact. Pulmonary localization was seen in 11 (78.6{\%}), and more than half (57.2{\%}) had a positive sputum stain or culture. All cases initiated treatment, but 1 abandoned it and other died of liver failure associated to cirrhosis (7.1{\%} each). Between 2003 and 2006, the annual rate of TBC among HCW ranged between 0 and 79 per 100.000, and during 2004 it -10.62). Conclusions: Despite TBC rate decline in Chile, this disease still represents a significant occupational risk for HCW. Notably, more than half of cases among HCWs are contagious, and despite treatment, some have a lethal evolution.",
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Fica, AC, Ramonda, PC, Jemenao, MIP, Zambrano, AG, Cifuentes, MD, Febre, NV, Ajenjo, MCH, Delpiano, LM & Diomedi, AP 2009, 'Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile', Revista Chilena de Infectologia, vol. 26, n.º 1, pp. 34-38.

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

En: Revista Chilena de Infectologia, Vol. 26, N.º 1, 02.2009, p. 34-38.

Resultado de la investigación: Article

TY - JOUR

T1 - Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile

AU - Fica, Alberto C.

AU - Ramonda, Paulina C.

AU - Jemenao, M. Irene P

AU - Zambrano, Alejandra G.

AU - Cifuentes, Marcela D.

AU - Febre, Naldy V.

AU - Ajenjo, M. Cristina H

AU - Delpiano, Luis M.

AU - Diomedi, Alexis P.

PY - 2009/2

Y1 - 2009/2

N2 - Objective: To evaluate the risk of tuberculosis (TBC) among health care workers (HCW) of the Southern Metropolitan Health Service (SMHS) of Santiago, Chile. Method: A retrospective study using records of patients receiving TBC treatment in the SMHS from 2001 to 2006 was performed, in which HCW were identified. Total population of HCWs at risk was calculated using annual records of personnel hired at the SMHS. Data on TBC cases and rates were compared against data of the SMSH and hazard ratio (HR) and confidence intervals obtained. Results: Fourteen cases were identified, predominantly among auxiliary personnel (n; 4, 35.7%), nursing staff and ambulance drivers (n: 2, 14.3% each). Cases occurred in personnel from 41.7% of hospitals and 10.3% of ambulatory care centers within the SMHS and 92.2% involved personnel with direct patient care or contact. Pulmonary localization was seen in 11 (78.6%), and more than half (57.2%) had a positive sputum stain or culture. All cases initiated treatment, but 1 abandoned it and other died of liver failure associated to cirrhosis (7.1% each). Between 2003 and 2006, the annual rate of TBC among HCW ranged between 0 and 79 per 100.000, and during 2004 it -10.62). Conclusions: Despite TBC rate decline in Chile, this disease still represents a significant occupational risk for HCW. Notably, more than half of cases among HCWs are contagious, and despite treatment, some have a lethal evolution.

AB - Objective: To evaluate the risk of tuberculosis (TBC) among health care workers (HCW) of the Southern Metropolitan Health Service (SMHS) of Santiago, Chile. Method: A retrospective study using records of patients receiving TBC treatment in the SMHS from 2001 to 2006 was performed, in which HCW were identified. Total population of HCWs at risk was calculated using annual records of personnel hired at the SMHS. Data on TBC cases and rates were compared against data of the SMSH and hazard ratio (HR) and confidence intervals obtained. Results: Fourteen cases were identified, predominantly among auxiliary personnel (n; 4, 35.7%), nursing staff and ambulance drivers (n: 2, 14.3% each). Cases occurred in personnel from 41.7% of hospitals and 10.3% of ambulatory care centers within the SMHS and 92.2% involved personnel with direct patient care or contact. Pulmonary localization was seen in 11 (78.6%), and more than half (57.2%) had a positive sputum stain or culture. All cases initiated treatment, but 1 abandoned it and other died of liver failure associated to cirrhosis (7.1% each). Between 2003 and 2006, the annual rate of TBC among HCW ranged between 0 and 79 per 100.000, and during 2004 it -10.62). Conclusions: Despite TBC rate decline in Chile, this disease still represents a significant occupational risk for HCW. Notably, more than half of cases among HCWs are contagious, and despite treatment, some have a lethal evolution.

KW - Disease transmission

KW - Health care workers

KW - Occupational exposure

KW - Ttuberculosis

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M3 - Article

C2 - 19350157

AN - SCOPUS:62949197148

VL - 26

SP - 34

EP - 38

JO - Revista Chilena de Infectologia

JF - Revista Chilena de Infectologia

SN - 0716-1018

IS - 1

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Fica AC, Ramonda PC, Jemenao MIP, Zambrano AG, Cifuentes MD, Febre NV y otros. Tuberculosis en el personal de salud del servicio de salud metropolitano sur de Santiago, Chile. Revista Chilena de Infectologia. 2009 feb;26(1):34-38.