隐性结核病感染计划对在一个结核病负担中等的国家的医疗保健工作者的影响
1Centre for Infection Prevention and Control, Samsung Medical Centre, Seoul, Republic of Korea; Division of Infectious Diseases, Department of Internal Medicine, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
The Journal of hospital infection
|December 1, 2023
概括
为医疗保健工作者 (HCW) 实施潜伏结核病感染 (LTBI) 计划显著减少了活跃结核病 (TB) 病例. 这项研究强调了LTBI查和治疗在医疗机构预防结核病传播方面的重要性.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 职业健康 职业健康 职业健康
背景情况:
- 医疗保健工作者 (HCW) 面临着医院结核病 (TB) 传播的风险.
- 对于控制结核病而言,医疗保健工作者中潜伏结核病感染 (LTBI) 的管理至关重要.
- 这项研究评估了在一个中等结核病负担的国家的第三级护理医院的LTBI计划.
研究的目的:
- 为了确定一个LTBI程序对HCWs的影响.
- 评估LTBI查和治疗对活跃结核病发病率的影响.
- 评估与LTBI状态和治疗相关的HCW中结核病发病率.
主要方法:
- 从2013年开始,对HCW实施基线和年度LTBI选.
- 为诊断为LTBI的HCW提供治疗.
- 从2013年到2020年,评估了HCW中每年的活跃结核病发病率.
- 基于LTBI测试结果和治疗史,分析了2020年结核病发病率.
主要成果:
- 在2013年至2020年期间,在HCW中观察到活跃结核病发病率的显著下降.
- 肺结核的平均年风险降低为10.2%.
- 接受LTBI治疗的HCW中没有一个患有活跃结核病;在接受治疗的人群中观察到较低的发病率.
结论:
- 通过LTBI计划,有效地减少了HCW中的活跃结核病发病率.
- 建议对LTBI进行查和治疗,特别是在结核病负担高或中等的国家.
- 实施全面的LTBI管理计划对于医疗保健工作者安全和结核病预防至关重要.
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