Compliance of Healthcare Worker’s toward Tuberculosis Preventive Measures in Workplace: A Systematic Literature Review

Abstract

Despite several guidelines published by the World Health Organization (WHO) and national authorities, there is a general increase in the number of healthcare workers (HCWs) contracting tuberculosis. This review sought to evaluate the compliance of the HCWs toward tuberculosis preventive measures (TPMs) in their workplace. Both electronic databases and manual searches were conducted to retrieve articles regarding the compliance of HCWs in the workplace published from 2010 onwards. Independent reviewers extracted, reviewed, and analyzed the data using the mixed methods appraisal tool (MMAT) 2018, comprising 15 studies, 1572 HCWs, and 249 health facilities. The results showed there was low compliance toward TPMs in the workplace among HCWs and health facilities from mostly high-burden tuberculosis countries. The failure to comply with control measures against tuberculosis was mainly reported at administrative levels, followed by engineering and personnel protective control measures. In addition, low managerial support and negative attitudes of the HCWs influenced the compliance. Further studies are needed to elucidate how to improve the compliance of HCWs toward the preventive measures against tuberculosis in order to reduce the disease burden among HCWs worldwide.

Knowledge, Attitudes, and Preventive Practices Regarding Tuberculosis Among Healthcare Workers and Patients in India: A Mixed-Method Study

“…The questionnaire was designed based on relevant literature and guidelines and was piloted for clarity and comprehensibility. The survey included sections on demographics, knowledge questions (general, HCW-specific, and patient-specific), attitude statements (Likert scale), and preventive practices (general, HCW-specific, and patient-specific) [ 10 , 11 ].…”

“…This study utilized a structured questionnaire to assess the knowledge, attitudes, and preventive practices related to TB among HCWs and patients. The questionnaire was developed based on an extensive review of relevant literature and guidelines from reputable sources such as the World Health Organization (WHO) and national TB control programs [ 10 , 11 ].…”

Investigating factors influencing implementation of tuberculosis infection prevention and control in rural Papua New Guinea

“…Lack of HCWs training in TB prevention may in uence compliance, as found in other studies conducted in Nigeria and China. 19,21 Limitations There are several limitations in the study. First, the barriers identi ed in this research may differ in settings with different healthcare systems, community, and healthcare institutions.…”

“…Numerous researchers have discussed the barriers to effective TB-IPC implementation in resourceconstrained healthcare settings. [18][19][20][21] The causes are often associated with multiple socio-ecological factors and must be better explained and understood to successfully implement TB-IPC measures in these settings. 22,23 However, little work has been done on the socio-ecological determinants in uencing TB-IPC measures in rural health settings, including in PNG.…”

Exploring the Role of Healthcare Personnel in Designing Tuberculosis Infection Prevention and Control Measures in Healthcare Settings: A Scoping Review

“…Healthcare personnel in high tuberculosis (TB)-burdened countries continue to be at high risk of occupational TB due to inadequate implementation of Tuberculosis Prevention and Control (TB-IPC) guidelines and a lack of understanding of the context and relevance to local settings [1]. Healthcare workers all over the world are reported to have latent tuberculosis infection (LTBI), an infection defined based on the cellular immune response to mycobacterial antigens with high exposure rates in primary care and outpatient service [2,3].…”