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Tuberculosis among physicians in training.

K G Rao1, A N Aggarwal, D Behera

  • 1Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|December 8, 2004
PubMed
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Resident doctors face a significant risk of developing tuberculosis (TB) due to hospital exposure. Nosocomial transmission poses a high risk for physicians in training, highlighting the need for preventative measures.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Occupational Health

Background:

  • Healthcare professionals, particularly resident doctors, are at risk of occupational exposure to infectious diseases.
  • Tuberculosis (TB) remains a global health concern, with nosocomial transmission a potential pathway for infection in healthcare settings.

Purpose of the Study:

  • To determine the incidence and risk of tuberculosis development among resident doctors.
  • To assess the risk of nosocomial transmission of tuberculosis within a hospital environment.

Main Methods:

  • Retrospective interviews with 478 resident doctors to ascertain TB development post-hospital admission.
  • Prospective follow-up of 231 newly admitted resident doctors over one year to monitor TB incidence.
  • Calculation of tuberculosis risk and incidence rates per 1000 person-years and per 1000 individuals, respectively.

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Main Results:

  • Nine out of 478 residents developed tuberculosis, indicating an overall risk of 11.2 cases per 1000 person-years.
  • Four out of 231 residents developed tuberculosis within one year of joining, showing an incidence of 17.3 per 1000.
  • The findings suggest a notable risk of active tuberculosis among physicians in training due to nosocomial transmission.

Conclusions:

  • Physicians in training are at a high risk for developing active tuberculosis.
  • Nosocomial transmission is a significant factor contributing to tuberculosis development in resident doctors.
  • Healthcare facilities must implement robust infection control measures to protect trainees from tuberculosis exposure.