Occupational tuberculosis in healthcare workers in sub-Saharan Africa: a systematic review

Alele, Faith O., Franklin, Richard C., Emeto, Theophilus I., and Leggat, Peter (2018) Occupational tuberculosis in healthcare workers in sub-Saharan Africa: a systematic review. Archives of Environmental & Occupational Health. (In Press)

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This article investigates the incidence, prevalence and factors associated with occupational tuberculosis (TB) in healthcare workers (HCWs) in sub-Saharan Africa (SSA). Studies were extracted from MEDLINE, PsycINFO, CINAHL, Cochrane Library, and SCOPUS databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement from inception to the 2nd of June 2017. Twenty-one studies met the inclusion criteria. The median prevalence of latent TB infection in HCWS was 62% (IQR 22%) and the median incidence of TB disease was 3871/100,000 (IQR 9314/100,000). The risk factors associated with LTBI or active TB disease were workplace, history of contact with TB patients, and longer duration of employment. The findings of this review demonstrate that the risk of acquiring TB among HCWs in SSA is high. This may impact on the recruitment, longevity and retention of HCWs.

Item ID: 53073
Item Type: Article (Research - C1)
ISSN: 1933-8244
Keywords: tuberculosis, latent tuberculosis infection, healthcare workers, sub-Saharan Africa
Date Deposited: 06 Jun 2018 23:12
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920115 Respiratory System and Diseases (incl. Asthma) @ 60%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920408 Health Status (e.g. Indicators of Well-Being) @ 40%
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