Nosocomial tuberculosis prevention in Portuguese hospitals: a cross-sectional evaluation

Sousa, Marta; Gomes, Maria de Lourdes Contente; Gaio, Rita; Duarte, Raquel

doi:10.5588/ijtld.16.0835

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…The risk of TB transmission in hospital personnel is 2–10 times higher than among the general population. [ 8 ] However, control of nosocomial transmission of TB is still neglected in hospitals in India. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis among resident doctors and nurses in a tertiary care hospital

Chavan¹,

Shenoy²

2022

Journal of Family Medicine and Primary Care

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Background: Tuberculosis (TB) is one of the widely rampant infectious diseases worldwide. Healthcare workers (HCWs) such as Medical students and nurses are continuously exposed to this air-borne infection in hospitals and are vulnerable to the infection. Overcrowding at workplace, inadequate ventilation, lack of personal protective measures, improper eating habits, etc., further make the HCWs more susceptible to TB. Objectives: Study of sociodemographic profile of resident doctors and nurses; study of factors for occurrence of TB among HCWs in a tertiary care hospital. Materials and Methods: Case-control study conducted. Questionnaire used to collect data. Comparison was made between the TB cases and controls among HCWs to identify the epidemiological determinants of TB and derive preventive measures for the same. Results: By Chi-Square test, regularity of breakfast P < 0.001; BMI P – 0.001; total duration of exposure to TB patients P – 0.013; screening for TB P – 0.014; adequacy of sleep P – 0.029; adequacy of protein intake P – 0.035 were found to have a significant association with the occurrence of TB. Conclusion: Having regular meals at appropriate times, nutritional status, duration of exposure to TB patients, history of screening being done or not were found to have a significant association with the occurrence of TB.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis among resident doctors and nurses in a tertiary care hospital

Chavan¹,

Shenoy²

2022

Journal of Family Medicine and Primary Care

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“…Os resultados desta revisão evidenciaram que o controle da TBMDR não deve se esgotar na oferta de medicação e/ou uso de novas drogas, mas sim, deve incluir diferentes ações que propiciem a atenção ampliada ao doente em tratamento. A implantação da atenção ambulatorial para acompanhamento dos doentes, como ocorrido na África do Sul (16, 18), é fundamental para organizar a assistência, visto que o ambiente hospitalar favorece a disseminação de bacilos (29) e acarreta mais sofrimento psíquico às pessoas hospitalizadas (30).…”

Section: Discussionunclassified

Estratégias de controle e atenção à tuberculose multirresistente: uma revisão da literature

Ballestero

Lima

Garcia

et al. 2018

Revista Panamericana De Salud Pública

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Objetivo.Identificar estratégias de controle da tuberculose multidrogarresistente (TBMDR) e de atenção aos pacientes acometidos.Métodos.Foi realizada uma revisão integrativa da literatura mediante pesquisa em três bases de dados da área da saúde (LILACS PubMed e CINAHL) e uma multidisciplinar (Scopus). Foram selecionados artigos originais que apresentassem estratégias utilizadas para operacionalização da atenção ao doente de TBMDR, publicados em inglês, espanhol ou português de 2006 a 2016. As informações coletadas foram organizadas segundo as estratégias para operacionalização da TBDMR identificadas pelos pesquisadores, que foram agrupadas em categorias temáticas.Resultados.Com base em uma amostra de 13 artigos, foram identificadas quatro categorias: a) DOTS-plus: reorganização dos serviços de saúde, aprimoramento das estruturas locais, padronização de fluxos e condutas profissionais, oferta de tratamento diretamente observado; b) descentralização do serviço: aproximação entre profissionais de saúde e doentes em tratamento, prioritariamente em locais com alta carga da doença; c) uso de ferramentas de comunicação: softwaree ligações telefônicas que permitiram arealização de consultoria com especialistas e/ou otimização da assistência dentro das equipes multiprofissionais; d) proteção social dos doentes: criação de mecanismos que forneceram apoio emocional, social e/ou econômico aos doentes em tratamento, fortalecendo a adesão à terapia medicamentosa.Conclusões.Foram identificadas diversas estratégias para além dos aspectos farmacológicos, corroborando a ideia de que o controle da TBMDR exige mecanismos que possibilitem uma atenção integral e condizente com as peculiaridades e potencialidades dos diferentes cenários onde a doença ocorre.

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“…It is necessary to respect primary prevention procedures, ensuring infected patients in appropriate environments, teaching workers in respecting the use of personal protective equipment (facial masks) also for assisting suspected cases, always trying to protect health safety [19][20].…”

Section: Discussionmentioning

confidence: 99%

Screening for Latent Tuberculosis Infection among Students of Healthcare Professions and Postgraduates of the Faculty of Medicine of the University of Palermo

Verso¹,

Picciotto²,

N³

et al. 2017

J Bacteriol Parasitol

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Introduction and objective: Italy is a country with a low incidence of tuberculosis and in the last fifty years the annual number of TB cases decreased from 12,247 to 4,418, showing a reduction of approximately 64% in the number of cases and 71% in incidence. Despite of this encouraging trend, in the last years the epidemiology of tuberculosis changed and today it is a re-emerging infectious. The aim of this study is to measure the prevalence of positivity to tuberculosis infection (latent TB) in students, without any obvious manifestation of disease, attending degree courses of the health care professions and postgraduate medical courses

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Nosocomial tuberculosis prevention in Portuguese hospitals: a cross-sectional evaluation

Abstract: These findings indicate that the most basic TB IC measures had been undertaken, but some TB IC measures were not fully implemented at all hospitals. An institutional effort should be made to solve this problem and strengthen TB prevention activities.

Cited by 4 publications

References 10 publications

Tuberculosis among resident doctors and nurses in a tertiary care hospital

Tuberculosis among resident doctors and nurses in a tertiary care hospital

Estratégias de controle e atenção à tuberculose multirresistente: uma revisão da literature

Screening for Latent Tuberculosis Infection among Students of Healthcare Professions and Postgraduates of the Faculty of Medicine of the University of Palermo

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