Early conversion of tuberculin skin test in medical students who begin hospital practices

Soto, Alonso; Huablocho, Pahola; Ulloque, Johan

doi:10.1016/j.bjid.2012.10.027

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…Similar finding was reported in other LMIC This indicate high TB disease exposure in the hospitals and low awareness of and control over exposure to risk factors among medical students. 25,26 WHO has led guidelines for infection control dissemination of knowledge, change in attitude and preventive practices to protect the HCWs at highest risk for LTBI. 24,27 This study provided insights on the knowledge, selfreported attitudes and preventive practices among the medical student towards TB.…”

Section: Discussionmentioning

confidence: 99%

A study on knowledge, awareness and preventive practice about tuberculosis among medical students in Udaipur, India

Doshi

Baghel

et al. 2019

Int J Basic Clin Pharmacol

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Background: Tuberculosis (TB) is a highly lethal infectious disease causing huge health burden worldwide, commonly involving the respiratory system. Medical students should also be empowered to impart awareness and reduce stigma related to TB. The objective of this study was to evaluate whether educational intervention would affect the level of TB awareness, knowledge, attitude and preventive practice of TB among medical students.Methods: The present study was carried out among the second year medical college students of Pacific Institute of Medical Sciences, Udaipur, India (n=142). A multiple-choice questionnaire of 45 questions was designed in English language, for pre- and post-tests. A 30-minute visual health education was given on TB and the assessment of knowledge, attitude and preventive practice of TB was done by a pre-test and post-test questionnaire.Results: Out of the total 150 student, 142 participated in the study making the response rate 94.66%. The total mean percentage of correct answers for TB knowledge was 48.59 (±20.44) which improved to 69.33 (±17.74) post-training. The total mean percentage of right attitude was 63.036 (±16.46) which improved to 77.06 (±15.58) post-training. The total mean percentage of correct answer for preventive practice were provided by 67.036 (±12.90) which changed to 79.50 (±12.01) post-training. There was significant difference in the knowledge, attitude and preventive practice of students in pre- and post-training tests (p=0.001).Conclusions: Our findings revealed that medical students had poor knowledge. A simple TB education session had a positive influence on knowledge, attitude and preventive practices about TB among them.

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Section: Discussionmentioning

confidence: 99%

A study on knowledge, awareness and preventive practice about tuberculosis among medical students in Udaipur, India

Doshi

Baghel

et al. 2019

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

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“…Medical students have been found to have a higher rate of early TST conversion compared to other students in a high-burden country setting [22] and a higher prevalence of LTBI during their late clinical years, compared to preclinical and early clinical years. [23] A previous review also found a significantly higher risk for contracting TB amongst young HCWs compared to older HCWs.…”

Section: No Safety Net For Studentsmentioning

confidence: 99%

Exposed, but Not Protected: More Is Needed to Prevent Drug-Resistant Tuberculosis in Healthcare Workers and Students

et al. 2016

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"Occupational MDR-TB" … "XDR-TB" … "Treatment-induced hearing loss": 3 life-changing messages imparted over the phone. Three personal accounts are shared highlighting the false belief held by many healthcare workers (HCWs) and students in low-resource settings-that they are immune to tuberculosis despite high levels of occupational tuberculosis exposure. This misconception reflects a lack of awareness of tuberculosis transmission and disease risk, compounded by the absence of accurate occupational tuberculosis estimates. As the global problem of drug-resistant (DR) tuberculosis evolves, HCWs are increasingly infected and suffer considerable morbidity and mortality from occupational DR tuberculosis disease. Similarly, healthcare students are emerging as a vulnerable and unprotected group. There is an urgent need for improved detection, vaccines, preventive therapy, treatment, and support for affected HCWs and those they care for, as well as destigmatization of all forms of tuberculosis. Finally, efforts to protect HCWs and prevent DR tuberculosis transmission by universal implementation of tuberculosis infection control measures should be prioritized.

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“…Globally, average LTBI prevalence among HCWs is estimated at 54% with annual risk ranging from 0.5% to 14% [6–10]. Further, medical residents have been found to be at higher risk for LTBI than other students in LMIC, indicating high TB disease exposure in the workplace [11–13]. Low awareness of and control over exposure to risk factors likely contribute to this risk, yet risk factors for LTBI are not well-defined, particularly among healthcare workers in high TB burden countries.…”

Section: Introductionmentioning

confidence: 99%

High risk for latent tuberculosis infection among medical residents and nursing students in India

et al. 2019

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Defining occupational latent tuberculosis infection (LTBI) risk among healthcare workers is needed to support implementation of prevention guidelines. Prospective cohort study of 200 medical residents and nursing students in India was conducted May 2016—December 2017. Tuberculin skin test (TST) and QuantiFERON TB Gold Test-in-tube (QFT-GIT) were performed at study entry and 12 months. Primary outcome was incident LTBI (≥10mm TST induration and/or ≥0.35IU/mL QFT-GIT) at 12 months; secondary outcomes included baseline LTBI prevalence and risk factors for incident and prevalent LTBI using Poisson regression. Among 200, [90 nursing students and 110 medical residents], LTBI prevalence was 30% (95% CI, 24–37); LTBI incidence was 26.8 (95% CI, 18.6–37.2) cases per 100 person-years and differed by testing method (28.7 [95% CI, 20.6–38.9] vs 17.4 [95% CI, 11.5–25.4] cases per 100 person-years using TST and QFT-GIT, respectively). Medical residents had two-fold greater risk of incident LTBI than nursing students (Relative Risk, 2.16; 95% CI, 1.05–4.42). During study period 6 (3%) HCWs were diagnosed with active TB disease. Overall, median number of self-reported TB exposures was 5 (Interquartile Range, 1–15). Of 60 participants with prevalent and incident LTBI who were offered free isoniazid preventive therapy (IPT), only 2 participants initiated and completed IPT. High risk for LTBI was noted among medical residents compared to nursing students. Self-reported TB exposure is underreported, and uptake of LTBI prevention therapy remains low. New approaches are needed to identify HCWs at highest risk for LTBI.

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Early conversion of tuberculin skin test in medical students who begin hospital practices

Cited by 5 publications

References 2 publications

A study on knowledge, awareness and preventive practice about tuberculosis among medical students in Udaipur, India

A study on knowledge, awareness and preventive practice about tuberculosis among medical students in Udaipur, India

Exposed, but Not Protected: More Is Needed to Prevent Drug-Resistant Tuberculosis in Healthcare Workers and Students

High risk for latent tuberculosis infection among medical residents and nursing students in India

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