Screening for pulmonary tuberculosis using chest radiography in new employees in an industrial park in Taiwan

Su, Shih‐Bin; Chiu, Chien-Fang; Chang, C. P.; Chen, Kow-Tong; Lin, Ching‐Yih; Guo, How‐Ran

doi:10.1016/j.ajic.2006.04.211

Cited by 2 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study done in Taiwan Industrial Park with a large sample of 17105 participants found that 22 participants showed positive findings suggestive of pulmonary tuberculosis. [ 3 ] In a study done in Africa covering 7 private institutions as a part of the routine check-up for new job applicants over a period of 5 years, 168 out of 2540 (7%) showed abnormalities. [ 4 ] These authors were in favor of routine pre-employment screening radiographs.…”

Section: Discussionmentioning

confidence: 99%

“…The total number of participants (4113) is larger than many studies that have concluded in favor of rejecting routine pre-employment screening. [ 3 4 ] As our participants included applicants for vacancies in all cadres ranging from housekeeping, technical, nursing, and highly specialized doctors, we can assume that the data represents a fairly wide spectrum of the society. A limitation of our study is that, as the radiographs were reported by different radiologists, there is a possibility that minor abnormalities may not have been mentioned by all, if they were considered clinically insignificant.…”

Section: Discussionmentioning

confidence: 99%

“…In our country, pre-employment chest radiograph is routinely done in many large private as well as government owned facilities. [ 1 2 ] There has been a lot of discussion regarding the usefulness or the futility of routine chest radiographs as part of screening of prospective employees, with some studies concluding in favor[ 3 4 ] and others against such practice. [ 5 6 7 8 9 10 11 12 13 14 15 ] To our knowledge, there is no published data from India on this subject.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

View full text Add to dashboard Cite

Background and Objective:A routine chest radiograph is mandatory in many institutions as a part of pre-employment screening. The usefulness of this has been studied over the years keeping in mind the added time, cost, and radiation concerns. Studies conducted outside India have shown different results, some for and some against it. To our knowledge, there is no published data from India on this issue.Materials and Methods:A retrospective review of the reports of 4113 pre-employment chest radiographs done between 2007 and 2009 was conducted.Results:Out of 4113 radiographs, 24 (0.58%) candidates required further evaluation based on findings from the screening chest radiograph. Out of these, 7 (0.17%) candidates required appropriate further treatment.Interpretation and Conclusions:The percentage of significant abnormalities detected which needed further medical intervention was small (0.17%). Although the individual radiation exposure is very small, the large numbers done nation-wide would significantly add to the community radiation, with added significant cost and time implications. We believe that pre-employment chest radiographs should be restricted to candidates in whom there is relevant history and/or clinical findings suggestive of cardiopulmonary disease.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

View full text Add to dashboard Cite

show abstract

Is routine pre-entry chest radiograph necessary in a high tuberculosis prevalence country?

Jasper

Gibikote

Kirupakaran

et al. 2020

Journal of Postgraduate Medicine

View full text Add to dashboard Cite

Context: Chest radiographs have been used worldwide as a screening tool before employment and training, by various healthcare and other government and nongovernment institutions. Many studies done in the past have demonstrated a relatively low yield for tuberculosis detection and therefore, the authors have questioned this practice. Aims: To compare the value of the preadmission/employment chest radiograph in two groups, namely, those who have been previously exposed to a healthcare setting (post-exposure group) and those who have not been exposed (pre-exposure group) and to determine if there is a significant difference in tuberculosis detection between these two groups. Settings and Design: A retrospective review of the reports of the chest radiographs of all candidates appearing for admission to various undergraduate and postgraduate courses in our institute between 2014 and 2017 was performed. Materials and Methods: The various abnormalities detected were recorded and the findings in the two groups were compared. Statistical Analysis Used: Chi-square test was used to compare between two group proportions. Results: Thirty out of 4333 (0.69%) candidates in the pre-exposure group and 53 out of 3379 (1.57%) candidates in the post-exposure group showed abnormalities on chest radiographs involving the lung parenchyma, mediastinum, heart, or pleura. In the pre-exposure group, six (0.14%) were found to have underlying cardiac disease and one (0.02%) had tuberculosis. Among the six candidates in the post-exposure group who underwent further investigations in our institute, five (0.15%) were diagnosed to have tuberculosis. Although there was no statistically significant difference in tuberculosis detection between the groups (P = 0.051), there is a trend towards higher detection of tuberculosis in the post-exposure group. Conclusions: In a country where the prevalence of tuberculosis is high, the pre-employment chest radiograph may still have a role in detecting tuberculosis in the post-exposure group.

show abstract

Screening for pulmonary tuberculosis using chest radiography in new employees in an industrial park in Taiwan

Cited by 2 publications

References 12 publications

The routine pre-employment screening chest radiograph: Should it be routine?

The routine pre-employment screening chest radiograph: Should it be routine?

Is routine pre-entry chest radiograph necessary in a high tuberculosis prevalence country?

Contact Info

Product

Resources

About