The Prevalence and Demographic Risk Factors for Latent Tuberculosis Infection (LTBI) Among Healthcare Workers in Semarang, Indonesia
The Prevalence and Demographic Risk Factors for Latent Tuberculosis Infection (LTBI) Among Healthcare Workers in Semarang, Indonesia
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DOI：
10.2147/jmdh.s241972
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发表时间：
2020-01-01
影响因子：
3.3
通讯作者：
Andriany, Megah
中科院分区：
文献类型：
--
作者：
Erawati, Meira;Andriany, Megah
目的：确定印度尼西亚塞马朗医护人员中潜伏性结核感染（LTBI）的患病率和人口统计学风险因素。方法：2019年8月至10月进行了一项横断面研究，涉及来自34个初级卫生中心的195名医护人员。自变量和因变量之间的关系进行了多因素Logistic回归分析。结果：LTBI的患病率在这项研究中的医护人员为23.6%。在其他风险因素中，共病是确定的LTBI的唯一风险因素（OR=3.39，95% CI：0.99-11.62，p=0.04）。其他人口因素，如年龄（OR=0.93，95% CI：0.45-1.92，p=0.839），性别（OR=0.79，95%CI：0.23-2.72，p=0.708）、吸烟习惯（OR=2.54，95%CI：0.52-12.38，p=0.247）、工作年限OR=1.43，95%CI：0.70-2.91，p=0.331）均不是LTBI的危险因素。结论：医务人员合并肺结核感染的危险性较高，不应在可能接触肺结核病人的地区工作。医护人员在接触结核病患者或标本时需要遵守职业安全标准，以尽量减少疾病传播。
Purpose: To determine the prevalence and demographic risk factors for latent tuberculosis infection (LTBI) among healthcare workers in Semarang, Indonesia.Methods: A cross-sectional study involving 195 healthcare workers from 34 primary health centers was conducted from August to October 2019. The relationship between independent variables and dependent variables was analyzed using a multivariable logistic regression analysis.Results: The prevalence of LTBI among healthcare workers in this study was 23.6%. Comorbidities were the only risk factor for LTBI identified among other risk factors (OR=3.39, 95% CI: 0.99-11.62, p=0.04). Other demographic factors such as age (OR=0.93, 95% CI: 0.45-1.92, p=0.839), gender (OR=0.79, 95% CI: 0.23-2.72, p=0.708, smoking habits (OR=2.54, 95% CI: 0.52-12.38, p=0.247), and length of work (OR=1.43, 95% CI: 0.70-2.91, p=0.331) were not significant risk factors for LTBI.Conclusion: Healthcare workers suffering from comorbidity have a high risk for tuberculosis infection, and should not work in areas where they would be exposed to patients with tuberculosis. Healthcare workers need to apply occupational safety standards during contact with TB patients or specimens to minimize the disease transmission.