Tuberculosis in Staff and Students of Patan Hospital.

Poojan Shrestha; Mila Shakya; Maxine Caws; Surendra Shrestha; Bibek Karki; Shreejana Shrestha; Dan Bahadur Karki; Bhagwan Maharjan; Bhawana Shrestha; Amit Arjyal; Abhilasha Karkey; Krishna G. Prajapati; Buddha Basnyat

doi:10.3126/jnhrc.v15i3.18853

Tuberculosis in Staff and Students of Patan Hospital.

Poojan Shrestha, Mila Shakya, Maxine Caws, Surendra Shrestha, Bibek Karki, Shreejana Shrestha, Dan Bahadur Karki, Bhagwan Maharjan, Bhawana Shrestha, Amit Arjyal, Abhilasha Karkey, Krishna G. Prajapati, Buddha Basnyat

Clinical Sciences

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

BACKGROUND

There is a high risk of occupational exposure to tuberculosis among healthcare workers in endemic countries. Regular screening for tuberculosis among healthcare workers is not carried out in Nepal. Infection control measures are also not routinely implemented. The aim of this study was to determine the prevalence of active tuberculosis among staff/students at Patan Hospital.

METHODS

Participants were given a self-administered questionnaire and invited to undergo chest radiography. Cases were scored and reviewed based on predetermined criteria, and presumptive tuberculosis cases were invited to undergo sputum smear and culture. Participants were categorized according to the extent of patient contact and asked about history of tuberculosis medication.

RESULTS

Among 560 participants, 76.8% had direct contact with patients. Fifty-eight (10.4%) gave history of cough >2 weeks. Based on symptom history and chest radiography, 20.0% (n=112) cases were reviewed, and 12.5% (n=14) of those reviewed had sputum tested for acid-fast bacilli. One participant had culture-positive tuberculosis. Fifty participants (8.9%) reported tuberculosis in the past, among which 42.0% (n=21) occurred after employment at Patan Hospital and 42.0% before joining Patan Hospital. Security staff, radiology technicians and ward cleaning staff had the highest proportion of cases with a history of tuberculosis.History of tuberculosis medication had no relation with age, sex, education, body mass index and smoking.The incidence rate of tuberculosis at Patan Hospital was 3.6 per 1000 person-years.

CONCLUSIONS

Overall incidence of tuberculosis among healthcare workers is noteworthy. However, this study suggests when symptomatic tuberculosis occurs in healthcare worker at Patan Hospital, it is diagnosed and there is not a large pool of undiagnosed tuberculosis.

Original language	English
Pages (from-to)	268-274
Number of pages	7
Journal	Journal of Nepal Health Research Council
Volume	15
Issue number	3
DOIs	https://doi.org/10.3126/jnhrc.v15i3.18853
Publication status	Published - 1 Jan 2018

Keywords

Health personnel; occupational health; tuberculosis.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3126/jnhrc.v15i3.18853Licence: CC BY

Mila nepal journal manusciptFinal published version, 239 KBLicence: CC BY

Cite this

@article{c2ded566bda8495d9f8cbcce6eb9146f,

title = "Tuberculosis in Staff and Students of Patan Hospital.",

abstract = "BACKGROUNDThere is a high risk of occupational exposure to tuberculosis among healthcare workers in endemic countries. Regular screening for tuberculosis among healthcare workers is not carried out in Nepal. Infection control measures are also not routinely implemented. The aim of this study was to determine the prevalence of active tuberculosis among staff/students at Patan Hospital.METHODSParticipants were given a self-administered questionnaire and invited to undergo chest radiography. Cases were scored and reviewed based on predetermined criteria, and presumptive tuberculosis cases were invited to undergo sputum smear and culture. Participants were categorized according to the extent of patient contact and asked about history of tuberculosis medication.RESULTSAmong 560 participants, 76.8\% had direct contact with patients. Fifty-eight (10.4\%) gave history of cough >2 weeks. Based on symptom history and chest radiography, 20.0\% (n=112) cases were reviewed, and 12.5\% (n=14) of those reviewed had sputum tested for acid-fast bacilli. One participant had culture-positive tuberculosis. Fifty participants (8.9\%) reported tuberculosis in the past, among which 42.0\% (n=21) occurred after employment at Patan Hospital and 42.0\% before joining Patan Hospital. Security staff, radiology technicians and ward cleaning staff had the highest proportion of cases with a history of tuberculosis.History of tuberculosis medication had no relation with age, sex, education, body mass index and smoking.The incidence rate of tuberculosis at Patan Hospital was 3.6 per 1000 person-years.CONCLUSIONSOverall incidence of tuberculosis among healthcare workers is noteworthy. However, this study suggests when symptomatic tuberculosis occurs in healthcare worker at Patan Hospital, it is diagnosed and there is not a large pool of undiagnosed tuberculosis.",

keywords = "Health personnel; occupational health; tuberculosis.",

author = "Poojan Shrestha and Mila Shakya and Maxine Caws and Surendra Shrestha and Bibek Karki and Shreejana Shrestha and Karki, \{Dan Bahadur\} and Bhagwan Maharjan and Bhawana Shrestha and Amit Arjyal and Abhilasha Karkey and Prajapati, \{Krishna G.\} and Buddha Basnyat",

year = "2018",

month = jan,

day = "1",

doi = "10.3126/jnhrc.v15i3.18853",

language = "English",

volume = "15",

pages = "268--274",

journal = "Journal of Nepal Health Research Council",

issn = "1727-5482",

publisher = "Nepal Health Research Council",

number = "3",

}

TY - JOUR

T1 - Tuberculosis in Staff and Students of Patan Hospital.

AU - Shrestha, Poojan

AU - Shakya, Mila

AU - Caws, Maxine

AU - Shrestha, Surendra

AU - Karki, Bibek

AU - Shrestha, Shreejana

AU - Karki, Dan Bahadur

AU - Maharjan, Bhagwan

AU - Shrestha, Bhawana

AU - Arjyal, Amit

AU - Karkey, Abhilasha

AU - Prajapati, Krishna G.

AU - Basnyat, Buddha

PY - 2018/1/1

Y1 - 2018/1/1

N2 - BACKGROUNDThere is a high risk of occupational exposure to tuberculosis among healthcare workers in endemic countries. Regular screening for tuberculosis among healthcare workers is not carried out in Nepal. Infection control measures are also not routinely implemented. The aim of this study was to determine the prevalence of active tuberculosis among staff/students at Patan Hospital.METHODSParticipants were given a self-administered questionnaire and invited to undergo chest radiography. Cases were scored and reviewed based on predetermined criteria, and presumptive tuberculosis cases were invited to undergo sputum smear and culture. Participants were categorized according to the extent of patient contact and asked about history of tuberculosis medication.RESULTSAmong 560 participants, 76.8% had direct contact with patients. Fifty-eight (10.4%) gave history of cough >2 weeks. Based on symptom history and chest radiography, 20.0% (n=112) cases were reviewed, and 12.5% (n=14) of those reviewed had sputum tested for acid-fast bacilli. One participant had culture-positive tuberculosis. Fifty participants (8.9%) reported tuberculosis in the past, among which 42.0% (n=21) occurred after employment at Patan Hospital and 42.0% before joining Patan Hospital. Security staff, radiology technicians and ward cleaning staff had the highest proportion of cases with a history of tuberculosis.History of tuberculosis medication had no relation with age, sex, education, body mass index and smoking.The incidence rate of tuberculosis at Patan Hospital was 3.6 per 1000 person-years.CONCLUSIONSOverall incidence of tuberculosis among healthcare workers is noteworthy. However, this study suggests when symptomatic tuberculosis occurs in healthcare worker at Patan Hospital, it is diagnosed and there is not a large pool of undiagnosed tuberculosis.

AB - BACKGROUNDThere is a high risk of occupational exposure to tuberculosis among healthcare workers in endemic countries. Regular screening for tuberculosis among healthcare workers is not carried out in Nepal. Infection control measures are also not routinely implemented. The aim of this study was to determine the prevalence of active tuberculosis among staff/students at Patan Hospital.METHODSParticipants were given a self-administered questionnaire and invited to undergo chest radiography. Cases were scored and reviewed based on predetermined criteria, and presumptive tuberculosis cases were invited to undergo sputum smear and culture. Participants were categorized according to the extent of patient contact and asked about history of tuberculosis medication.RESULTSAmong 560 participants, 76.8% had direct contact with patients. Fifty-eight (10.4%) gave history of cough >2 weeks. Based on symptom history and chest radiography, 20.0% (n=112) cases were reviewed, and 12.5% (n=14) of those reviewed had sputum tested for acid-fast bacilli. One participant had culture-positive tuberculosis. Fifty participants (8.9%) reported tuberculosis in the past, among which 42.0% (n=21) occurred after employment at Patan Hospital and 42.0% before joining Patan Hospital. Security staff, radiology technicians and ward cleaning staff had the highest proportion of cases with a history of tuberculosis.History of tuberculosis medication had no relation with age, sex, education, body mass index and smoking.The incidence rate of tuberculosis at Patan Hospital was 3.6 per 1000 person-years.CONCLUSIONSOverall incidence of tuberculosis among healthcare workers is noteworthy. However, this study suggests when symptomatic tuberculosis occurs in healthcare worker at Patan Hospital, it is diagnosed and there is not a large pool of undiagnosed tuberculosis.

KW - Health personnel; occupational health; tuberculosis.

U2 - 10.3126/jnhrc.v15i3.18853

DO - 10.3126/jnhrc.v15i3.18853

M3 - Article

SN - 1727-5482

VL - 15

SP - 268

EP - 274

JO - Journal of Nepal Health Research Council

JF - Journal of Nepal Health Research Council

IS - 3

ER -

Tuberculosis in Staff and Students of Patan Hospital.

Abstract

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this