Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil

Background: Occupational Tuberculosis (TB) can lead to work absenteeism and a negative professional impact. Knowing the reactivity of the tuberculin test and the risk of M. tuberculosis infection among healthcare professionals is essential for the revision and reinforcement of control measures again...

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Autores principales: Spíndola De Miranda,Silvana, Campos De Oliveira,Alice, Xavier Santos,Aline, Pereira Prado,Deborah, Leão Soares,Cláudia, Santos Nery,Rachel, Cunha Vieira,Henriquez, Da Silva Carvalho,Wânia
Lenguaje:English
Publicado: Sociedad Médica de Santiago 2012
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800008
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spelling oai:scielo:S0034-988720120008000082012-12-18Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, BrazilSpíndola De Miranda,SilvanaCampos De Oliveira,AliceXavier Santos,AlinePereira Prado,DeborahLeão Soares,CláudiaSantos Nery,RachelCunha Vieira,HenriquezDa Silva Carvalho,Wânia Infectious disease transmission patient-to-professional Latent tuberculosis Tuberculin test Background: Occupational Tuberculosis (TB) can lead to work absenteeism and a negative professional impact. Knowing the reactivity of the tuberculin test and the risk of M. tuberculosis infection among healthcare professionals is essential for the revision and reinforcement of control measures against TB transmission. Aim: To assess the reactivity of tuberculin test and risk of M. tuberculosis infection among healthcare professionals working in an upright building, in which a TB Reference Clinic is placed. Subjects and Methods: A tuberculosis Skin Test (TST) was done to 251 staff members of a TB clinic that did not have a previous history or suspicion of TB and that did not have a previous TST done. Among subjects with absence of reaction, repeated tests were carried out to assess booster reaction. Results: Fifty one percent of studied subjects (129) had a positive tuberculin test. The booster phenomenon was evidenced in 35.7% (68/190). The seroconversion among non-reactive subjects, subjected to a new TST after one year, was 5.1%. The infection risk was 1.4. Conclusions: This study indicates an important occupational risk of infection in healthcare settings exposed to high TB incidence, and should be used to better allocate resources for infection control.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.8 20122012-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800008en10.4067/S0034-98872012000800008
institution Scielo Chile
collection Scielo Chile
language English
topic Infectious disease transmission
patient-to-professional
Latent tuberculosis
Tuberculin test
spellingShingle Infectious disease transmission
patient-to-professional
Latent tuberculosis
Tuberculin test
Spíndola De Miranda,Silvana
Campos De Oliveira,Alice
Xavier Santos,Aline
Pereira Prado,Deborah
Leão Soares,Cláudia
Santos Nery,Rachel
Cunha Vieira,Henriquez
Da Silva Carvalho,Wânia
Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
description Background: Occupational Tuberculosis (TB) can lead to work absenteeism and a negative professional impact. Knowing the reactivity of the tuberculin test and the risk of M. tuberculosis infection among healthcare professionals is essential for the revision and reinforcement of control measures against TB transmission. Aim: To assess the reactivity of tuberculin test and risk of M. tuberculosis infection among healthcare professionals working in an upright building, in which a TB Reference Clinic is placed. Subjects and Methods: A tuberculosis Skin Test (TST) was done to 251 staff members of a TB clinic that did not have a previous history or suspicion of TB and that did not have a previous TST done. Among subjects with absence of reaction, repeated tests were carried out to assess booster reaction. Results: Fifty one percent of studied subjects (129) had a positive tuberculin test. The booster phenomenon was evidenced in 35.7% (68/190). The seroconversion among non-reactive subjects, subjected to a new TST after one year, was 5.1%. The infection risk was 1.4. Conclusions: This study indicates an important occupational risk of infection in healthcare settings exposed to high TB incidence, and should be used to better allocate resources for infection control.
author Spíndola De Miranda,Silvana
Campos De Oliveira,Alice
Xavier Santos,Aline
Pereira Prado,Deborah
Leão Soares,Cláudia
Santos Nery,Rachel
Cunha Vieira,Henriquez
Da Silva Carvalho,Wânia
author_facet Spíndola De Miranda,Silvana
Campos De Oliveira,Alice
Xavier Santos,Aline
Pereira Prado,Deborah
Leão Soares,Cláudia
Santos Nery,Rachel
Cunha Vieira,Henriquez
Da Silva Carvalho,Wânia
author_sort Spíndola De Miranda,Silvana
title Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
title_short Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
title_full Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
title_fullStr Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
title_full_unstemmed Positive tuberculin test and risk of infection by Mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in Minas Gerais, Brazil
title_sort positive tuberculin test and risk of infection by mycobacterium tuberculosis in a tuberculosis clinic settled in an upright building, in minas gerais, brazil
publisher Sociedad Médica de Santiago
publishDate 2012
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800008
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