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Risk of tuberculosis in correctional healthcare workers.

Authors
Mitchell-CS; Gershon-RR; Lears-MK; Vlahov-D; Felknor-S; Lubelczyk-RA; Sherman-MF; Comstock-GW
Source
J Occup Environ Med 2005 Jun; 47(6):580-586
NIOSHTIC No.
20028876
Abstract
The objective of this study was to determine the prevalence, incidence, and risk factors for occupational infection with tuberculosis among healthcare workers employed in correctional facilities. The authors conducted a self-administered survey, clinical interview, and tuberculin skin testing. The overall tuberculin skin test point prevalence rate was 17.7%, the reactivity rate was 2.2%, and the annual incidence was 1.3%. At the multivariate level, after controlling for bacille Calmette-Guerin vaccination, only origin of birth remained significantly associated with prevalence of tuberculosis infection. Although the prevalence of tuberculin reactivity was high in this population, the risk factors were predominantly demographic rather than occupational. Nevertheless, continued vigilance to control occupational exposure to this and other respiratory pathogens is warranted, given the potential for future outbreaks of tuberculosis, as well as other known and emerging airborne pathogens.
Keywords
Health-care-personnel; Workers; Worker-health; Risk-analysis; Risk-factors; Occupational-health; Occupational-hazards; Occupational-diseases; Correctional-facilities; Skin-tests; Infectious-diseases; Infection-control; Demographic-characteristics; Occupational-exposure; Pathogens; Respiratory-infections; Respiratory-irritants; Respiratory-system-disorders
CODEN
JOEMFM
Publication Date
20050601
Document Type
Journal Article
Funding Amount
148530
Funding Type
Grant
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003459
Issue of Publication
6
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
MD
Performing Organization
Johns Hopkins University, Baltimore, Maryland
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