Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.

<h4>Background</h4>Health care workers (HCWs) are at an increased risk of acquiring tuberculosis (TB) compared to the general population, because of the frequent face to face contact or potential exposure to TB through shared air or space with infectious patient(s), regardless of economi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Melashu Balew Shiferaw, Mulusew Alemneh Sinishaw, Desalegne Amare, Genetu Alem, Dawit Asefa, Eveline Klinkenberg
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/44be25c796d4448ba7653a793fadaa3c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:44be25c796d4448ba7653a793fadaa3c
record_format	dspace
spelling	oai:doaj.org-article:44be25c796d4448ba7653a793fadaa3c2021-12-02T20:10:43ZPrevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.1932-620310.1371/journal.pone.0253177https://doaj.org/article/44be25c796d4448ba7653a793fadaa3c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253177https://doaj.org/toc/1932-6203<h4>Background</h4>Health care workers (HCWs) are at an increased risk of acquiring tuberculosis (TB) compared to the general population, because of the frequent face to face contact or potential exposure to TB through shared air or space with infectious patient(s), regardless of economic setting and local TB incidence. Information on the burden of active TB disease among HCWs will help guide control measures, can be utilized to evaluate the effectiveness of TB infection prevention programs in the health care setting, and guide necessary actions. However, data on TB among HCW in Ethiopia is limited. Therefore, this study aimed to determine the prevalence of active TB disease among healthcare workers and support staff in healthcare settings in the Amhara region of Ethiopia.<h4>Methods</h4>A cross-sectional study design was used to recruit a total of 580 randomly selected study participants in the Amhara region. Data were collected over four months in selected hospitals and health centers. Implementation of TB prevention and control measures was evaluated using a standardized checklist. The main outcome indicator was active TB as measured by a laboratory diagnosis using GeneXpert technology.<h4>Results</h4>A total of 580 study participants were enrolled. The mean age was 31.3 (±7.8 standard deviation) years, with about two-thirds (65.3%) aged between 18-24 years. A total of 9 (1.6%) MTB cases were detected, 4 (1.4%) in HCWs and 5 (1.7%) in support staff, which did not significantly differ (P = 0.50). About 90% of the participants had not received TB infection prevention and control training ever. More than half (54%) of the study participants worked in poorly ventilated rooms. Triage of coughing patients was not practiced in 32% of the studied facilities (health centers and hospitals).<h4>Conclusions</h4>The magnitude of TB among healthcare workers and support staff in healthcare settings was higher than in the general population (140 per 100000 population). The status of implementation of tuberculosis prevention and control measures indicated missed opportunities. Hence, strict implementation of developed infection control plans of TB in healthcare settings needs to be improved.Melashu Balew ShiferawMulusew Alemneh SinishawDesalegne AmareGenetu AlemDawit AsefaEveline KlinkenbergPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253177 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Melashu Balew Shiferaw Mulusew Alemneh Sinishaw Desalegne Amare Genetu Alem Dawit Asefa Eveline Klinkenberg Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
description	<h4>Background</h4>Health care workers (HCWs) are at an increased risk of acquiring tuberculosis (TB) compared to the general population, because of the frequent face to face contact or potential exposure to TB through shared air or space with infectious patient(s), regardless of economic setting and local TB incidence. Information on the burden of active TB disease among HCWs will help guide control measures, can be utilized to evaluate the effectiveness of TB infection prevention programs in the health care setting, and guide necessary actions. However, data on TB among HCW in Ethiopia is limited. Therefore, this study aimed to determine the prevalence of active TB disease among healthcare workers and support staff in healthcare settings in the Amhara region of Ethiopia.<h4>Methods</h4>A cross-sectional study design was used to recruit a total of 580 randomly selected study participants in the Amhara region. Data were collected over four months in selected hospitals and health centers. Implementation of TB prevention and control measures was evaluated using a standardized checklist. The main outcome indicator was active TB as measured by a laboratory diagnosis using GeneXpert technology.<h4>Results</h4>A total of 580 study participants were enrolled. The mean age was 31.3 (±7.8 standard deviation) years, with about two-thirds (65.3%) aged between 18-24 years. A total of 9 (1.6%) MTB cases were detected, 4 (1.4%) in HCWs and 5 (1.7%) in support staff, which did not significantly differ (P = 0.50). About 90% of the participants had not received TB infection prevention and control training ever. More than half (54%) of the study participants worked in poorly ventilated rooms. Triage of coughing patients was not practiced in 32% of the studied facilities (health centers and hospitals).<h4>Conclusions</h4>The magnitude of TB among healthcare workers and support staff in healthcare settings was higher than in the general population (140 per 100000 population). The status of implementation of tuberculosis prevention and control measures indicated missed opportunities. Hence, strict implementation of developed infection control plans of TB in healthcare settings needs to be improved.
format	article
author	Melashu Balew Shiferaw Mulusew Alemneh Sinishaw Desalegne Amare Genetu Alem Dawit Asefa Eveline Klinkenberg
author_facet	Melashu Balew Shiferaw Mulusew Alemneh Sinishaw Desalegne Amare Genetu Alem Dawit Asefa Eveline Klinkenberg
author_sort	Melashu Balew Shiferaw
title	Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
title_short	Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
title_full	Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
title_fullStr	Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
title_full_unstemmed	Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.
title_sort	prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the amhara region, ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/44be25c796d4448ba7653a793fadaa3c
work_keys_str_mv	AT melashubalewshiferaw prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia AT mulusewalemnehsinishaw prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia AT desalegneamare prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia AT genetualem prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia AT dawitasefa prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia AT evelineklinkenberg prevalenceofactivetuberculosisdiseaseamonghealthcareworkersandsupportstaffinhealthcaresettingsoftheamhararegionethiopia
_version_	1718374941161684992

Prevalence of active tuberculosis disease among healthcare workers and support staff in healthcare settings of the Amhara region, Ethiopia.

Ejemplares similares