Risk of tuberculin conversion according to occupation among health care workers at a New York City hospital
Risk of tuberculin conversion according to occupation among health care workers at a New York City hospital
复制标题
DOI：
10.1164/ajrccm.156.1.9611091
复制
发表时间：
1997-07-01
影响因子：
24.7
通讯作者：
Sepkowitz, KA
中科院分区：
文献类型：
--
作者：
Louther, J;Rivera, P;Sepkowitz, KA
对职业性获得性结核病对卫生保健工作者风险的关注导致了疾病控制和预防中心（CDC）的广泛和经常修订的指南。然而，最近的研究已经确定，社区，而不是职业，接触是结核菌素转换的更重要的风险。为了评估社区与职业风险的相对贡献，我们回顾了1991年至1994年在纽约市的St. Glare医院（一家结核病发病率很高的医院）工作的1,303名人员的健康记录。人口统计信息包括年龄，性别，居住的邮政区，出生国家和卡介苗接种状况，而职业被分为五组之一。在多变量分析中，职业与结核菌素转换的风险显著相关，而居住的邮政地区则不相关。包括家政、洗衣、保安人员和医生护士组的转换率最高。实施CDC指南后，员工结核菌素转换率有显着改善。在我们医院，职业与结核菌素转换的风险密切相关。
Concern about the risk to health care workers of occupationally acquired tuberculosis has resulted in extensive and frequently revised guidelines from the Centers for Disease Control and Prevention (CDC). Most recent studies, however, have determined that community, rather than occupational, exposure is the more significant risk for tuberculin conversion. To assess the relative contribution of community versus occupational risk, we reviewed the health records of 1,303 persons employed from 1991 to 1994 at St. Glare's Hospital in New York City, a hospital with a high tuberculosis case-rate. Demographic information included age, gender, postal zone of residence, country of birth, and BCG vaccination status, while occupations were placed into one of five groups. In multivariate analysis, occupation was significantly associated with risk of tuberculin conversion, while postal zone of residence was not. The group that included housekeeping, laundry, and security personnel and the physician-nurse group had the highest conversion rates. After implementation of CDC guidelines, there was a significant improvement in the employee tuberculin conversion rate. At our hospital, occupation was strongly associated with risk of tuberculin conversion.