Impact of intervention on incidence of tuberculosis among health care workers (HCWs) from tuberculosis speciality hospital, Mumbai, India

Dr. Rajendra Nanavare; Dr. Dilip Kadam; Dr. Lalit Anande

Impact of intervention on incidence of tuberculosis among health care workers (HCWs) from tuberculosis speciality hospital, Mumbai, India

Authors
Dr. Rajendra Nanavare, Dr. Dilip Kadam, Dr. Lalit Anande

Abstract
Introduction: Tuberculosis (TB) is a global public health problem, India has highest burden of TB cases in the world. Transmission of TB in health care settings is documented. The health care workers are exposed to TB cases directly. Number of Health Care Workers (HCWs) who acquired TB at Speciality TB hospital was 65 in 5 years. Therefore, prevention and control of TB among health care workers was a challenge. Various measures including surveillance and prompt treatment reduced the incidence of TB in HCWs.

Methodology: It is hospital based cohort study. Total 842 employees were followed up for duration of 5 years. HCWs were counselled to participate in the study. Routine clinical examination was done along with Lab investigations such as sputum smear for AFB, chest X-ray, Gene Xpert, and LPA & MGIT. Standard treatment protocol was observed at all stages of patient management. Data was collected in individual case record form & was entered in Excel sheet & analysed by SPSS software.

Results: 12.1% of HCW developed TB belonged to age group 49 – 58 yrs. (p=0.035). 11.9% of the HCW were male while 2.4% were females. The maximum no of TB cases were among labour staff (10.9%). The incidence of new cases of TB decreased from 2.1% to 1.1%.

Conclusion: Political, administrative & technical staff commitment helped to decrease the incidence of TB in HCWs.

Download | Pages : 74-76