Risk for Tuberculosis Disease Among Contacts with Prior Positive Tuberculin Skin Test: A retrospective Cohort Study, New York City

Gounder, Prabhu; Harris, Tiffany G.; Anger, H; Trieu, Lisa; Meissner, Jeanne Sullivan; Cadwell, Betsy L.; Shashkina, Elena; Ahuja, Shama D.

doi:10.1007/s11606-015-3180-2

Cited by 8 publications

(13 citation statements)

References 10 publications

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“…Another study discovery was about the high prevalence of LTBI among young HCWs. It was supported by various studies than finding young age as one of the important factors for TBI [16]- [19]. However, some studies also found more cases of LTBI among older HCWs which in favour of this study finding [20]- [21].…”

Section: Discussionsupporting

confidence: 63%

Prevalence of Latent Tuberculosis among Hospital Administrative Staff in Kuala Lumpur

Jaáfar¹,

Krishnan²

2016

IJPHS

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In the United States, there were about 10 to 15 million people with latent tuberculosis infection (LTBI) who are asymptomatic, particularly among healthcare workers (HCWs). The aim of the study was to determine the prevalence of LTBI among the HCWs in a main general hospital in Malaysia. About 401 HCWs have been enrolled in this cross sectional study conducted in November 2014 until January 2015. A standardised questionnaire was used to obtain their demography and job description together with Tuberculin skin test (TST). The prevalence of LTBI in the institution was about 46.4%, which was high. It was common amongst a younger age group and male HCWs. The noble finding was the study proved that the administrative type of work in a clinical setting has the highest prevalence and risk (adjusted OR=5.366; 95% CI=1.397-20.619) compared to others. Non-clinical HCWs like administrator should be treated as one of potential job for TBI in any hospital or clinic. Any programme on TBI awareness and prevention should include them too.

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Section: Discussionsupporting

confidence: 63%

Prevalence of Latent Tuberculosis among Hospital Administrative Staff in Kuala Lumpur

Jaáfar¹,

Krishnan²

2016

IJPHS

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“…Non‐acceptance of a full evaluation among household contacts in this sample was significantly more likely among males, 18 and 44 years of age. Some practical issues such as difficulties in taking time off from work and school (Fox et al., 2015; Gounder et al., 2015), or other personal reasons such as job insecurity, can prevent a contact from coming for evaluation (Faccini et al., 2015). Because most men are heads of the household and are more likely to be responsible for a major part of the family's income, there will be an economic burden if the husband misses work.…”

Section: Discussionmentioning

confidence: 99%

“…Fox et al (2015) identified barriers to adherence with CI including the knowledge, attitudes, and practices of household contacts. Gaps in knowledge about how TB is transmitted and why testing is important influence the likelihood of accepting testing (Faccini et al., 2015; Fox et al., 2015; Gounder et al., 2015). Bacille Calmette‐Guerin (BCG), a live vaccine administered in neonates and infants to prevent the development of severe forms of tuberculosis disease has been a barrier in TB testing.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with household contacts’ tuberculosis testing and evaluation

Barroso

2020

Public Health Nursing

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Purpose No research has been done in New York City that shows the demographic characteristics of household contacts testing, evaluation, and treatment of LTBI. The objective of the study was to identify demographic factors associated with household contacts’ TB testing, evaluation, and LTBI treatment. Design and Methods A retrospective analysis of the New York City (NYC) TB registry data that examined the factors (gender, age, country of birth, race/ethnicity, and borough of residence) associated with TB testing, evaluation, and LTBI treatment. The study sample included all household contacts of TB cases identified from 2010 to 2014 (N = 3,008). The data set was chosen when nurses were the primary case managers at chest centers in the department of health. Descriptive and inferential analysis was used to identify factors associated with testing, evaluation, and LTBI treatment. Results The demographic characteristics of household contacts associated with testing, evaluation, and LTBI treatment were consistent with those of TB cases in NYC from 2010 to 2014. Those not tested, not fully evaluated, and refusing LTBI treatment were most often aged 18–44 years and were non‐US born. Males were significantly more likely than females not to be fully evaluated. Among racial/ethnic groups, Asian and Hispanic persons were at higher risk of not being fully evaluated, and residents of Queens had the highest risk among the five boroughs. In multivariate analyses, age was a significant predictor of behavior, such that the older the person the less likely to get TB testing or to accept LTBI treatment. Non‐US country of birth was associated with lower likelihood of being fully evaluated but more likely to accept LTBI treatment when fully evaluated, while Asian or Hispanic race/ethnicity was associated with higher likelihood of both behaviors. Conclusions Findings on age from this study will enable public health agencies and public health nurses to plan for effective strategies that will increase the number of household contacts who accept TB testing and evaluation, as well as the numbers who will accept and complete LTBI treatment.

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“…Em outros casos, os bacilos ficam encapsulados, em estado latente, em pequenos focos quiescentes, que não progridem, nem provocam o adoecimento, caracterizando a ILTB. Embora a maioria dos infectados desenvolva a doença entre dezoito e vinte e quatro meses após a infecção inicial (Feng et al, 2015; Gounder et al, 2015), uma vez infectada, a pessoa pode adoecer em qualquer momento da vida, caso não receba o tratamento preventivo preconizado (Brasil, 2019c).…”

Section: Tuberculose: Possibilidades De Transmissão Infecção Latenteunclassified

“…Tal resultado é consistente com evidências de que esse é o período de maior risco para aqueles que têm substancial convívio (≥ 8 horas/semana) com uma pessoa diagnosticada com TB pulmonar ou laríngea, ou quando a transmissão definitiva for observada. Além disso, os resultados dessa pesquisa também indicaram que todos os contatos em que foram inoculados o Protein Purified Derived (PPD), com resultado do TT positivo anterior, foram expostos em um ambiente doméstico (Gounder et al, 2015).…”

Section: Tuberculose: Possibilidades De Transmissão Infecção Latenteunclassified

Contatos de indivíduos com tuberculose: análise na perspectiva da vulnerabilidade

Pinto¹

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A Deus por me amparar nos momentos difíceis, me dar força interior para superar as dificuldades, mostrar o caminho nas horas incertas e me suprir em todas as necessidades. Ao meu amado pai, Josenildo Pinto da Silva, pelo apoio incondicional, confiança, pelas orações e por ser a minha companhia durante todo o processo de coleta de dados. À minha amada mãe, Sônia Mércia Lima pela paciência, por aguentar minhas lamentações, pelo apoio, por ser minha companhia e cuidar com tanto amor de Miguel para que eu pudesse me dedicar em alguns momentos aos estudos. Aos meus irmãos, Maryana Lima Pinto e Gabriel Lima Pinto que estiveram sempre torcendo e acreditando em mim, pelo apoio, pela força e pela ajuda nos cuidados ao Miguel. À minha madrasta, Maria do Socorro M. Montenegro, pelo incentivo, confiança, orações constantes, apoio e carinho em todos os momentos. À Talina Carla da Silva, por seu ombro amigo, sua presença sempre constante, companheirismo, incentivo, apoio, parceria e carinho. À Izolda Freire pela estadia em São Paulo, pela acolhida, pela torcida, pelo carinho e por cuidar de Miguel para que eu pudesse assistir às aulas e estudar. À Cibely Freire, por abrir as portas de sua casa e ter nos acolhido tão bem, pelo carinho e torcida. À Giovanna Mariah Orlandi, pela parceria e amizade, pela disponibilidade de sempre e pela torcida. Ao meu amigo Zé Filho por seu carinho, por torcer pela minha vitória, pela força e apoio constantes. Ao meu amigo Márcio André Ferreira de Sousa, pelo incentivo, pelas orações, pela força, torcida e por acreditar em mim e na minha vitória! A Kerginaldo Barros e Zoraide Barros, pelas orações, pelo apoio e torcida. A todos os integrantes do Grupo de Pesquisa Avaliação de Serviços de Saúde, pela torcida e apoio, em especial os alunos que contribuíram com a coleta de dados: Valdízia, Pedro e Aline e aos queridos Aguinaldo e Rose, pelo apoio nas horas difíceis. Às professoras Dra. Lúcia Izumi e Dra. Paula Hino pelas contribuições no Exame de Qualificação. Aos membros da Comissão Julgadora pela disponibilidade e pelas contribuições que foram sugeridas. A Coordenação da Vigilância Epidemiológica e do Programa de Controle da Tuberculose do município de Campina Grande-PB, pelo fornecimento do banco de dados utilizados neste trabalho. A todos os professores do Programa de Pós-Graduação em Enfermagem da USP que repartiram seus conhecimentos e experiências, contribuindo assim, para minha formação acadêmica. Aos colegas de trabalho do Hospital das Clínicas da UFPE pelo carinho, torcida e apoio, em especial: Rândson Soares, Francimar Nipo, Catarina Vasconcelos, Lilíada Gomes e Míriam Marinho. Aos colegas de trabalho do Hospital Universitário Lauro Wanderley da UFPB pelo carinho, torcida, incentivo e por acreditarem em mim, em especial Carla Mattos, Ana Paula Dantas, Nadja Karla e Rafaela Félix. Enfim, a todos os citados, agradeço por acreditarem no meu potencial, na minha profissão, nas minhas ideias, nos meus devaneios, principalmente quando nem eu mais acreditava. Sem vocês nada disso seria possível. ...

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Risk for Tuberculosis Disease Among Contacts with Prior Positive Tuberculin Skin Test: A retrospective Cohort Study, New York City

Cited by 8 publications

References 10 publications

Prevalence of Latent Tuberculosis among Hospital Administrative Staff in Kuala Lumpur

Prevalence of Latent Tuberculosis among Hospital Administrative Staff in Kuala Lumpur

Factors associated with household contacts’ tuberculosis testing and evaluation

Contatos de indivíduos com tuberculose: análise na perspectiva da vulnerabilidade

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