Historical Risks of Tuberculin Skin Test Conversion Among Non-Physician Staff at a Large Urban Hospital

Details

• Personal Author:
  Miller, Aubrey K. ; Sieber, W. Karl ; Tepper, Allison L.
• Description:
  Nosocomial transmission of Mycobacterium tuberculosis among workers at a 1000-bed inner-city hospital led to an extensive evaluation of this risk among workers with potential exposure to TB patients or laboratory specimens. Retrospective cohort study to determine the incidence and risk of tuberculin skin test (TST) conversions among workers employed 1/1/90 to 9/30/92. Personal, community, and occupational risk factors were evaluated in 2,362 workers with potential M. tuberculosis exposure and 886 workers with no known exposure. The 33-month cumulative rate of TST conversion was 5.8% for potentially exposed workers and 2.0% for controls (RR 3.6; 95% CI; 2.2-5.8). Among workers with potential M. tuberculosis exposure, statistically significantly elevated risks were found for nurses, labo-ratory technicians, pharmacy workers, phlebotomists, housekeepers, clerks, emergency room workers, and emergency responders. Workers with patient contact and those employed in certain occupational groups were at increased risk for occupational M. tuberculosis infection. [Description provided by NIOSH]
• Subjects:
  Bacterial Infections Communicable Diseases Epidemiology Health Personnel Occupational Exposure Occupational Health Respiratory Tract Diseases Risk Assessment Risk Factors Safety Skin Workplace

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• Keywords:
  Author Keywords: Tuberculosis Bacterial-disease Bacterial-infections Disease-transmission Hospital Workers Infectious-diseases Nosocomial Transmission Occupational-exposure Occupational Exposure Pulmonary-system-disorders Risk-analysis Risk-factors Skin-tests Tuberculin Skin Test Worker-health Workplace-monitoring

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• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; Ohio ; OSHA Region 5 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies ; OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  228-235
• Volume:
  42
• Issue:
  3
• NIOSHTIC Number:
  nn:20022390
• Citation:
  Am J Ind Med 2002 Sep; 42(3):228-235
• Contact Point Address:
  DHHS/USPHS, Region VIII, 1961Stout St., Room 498, Denver, CO 80294, USA
• Email:
  amiller@hrsa.gov
• Federal Fiscal Year:
  2002
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1216d9093b35a508214c6dc07ed2f6925af8f6cd5dec8a51e0447ca5b32e513f32ce4a1db80847b5e18afccc1f9d2ff76aa907cfb2c3687ae388a5dc9d1432cc
• Download URL:
  https://stacks.cdc.gov/view/cdc/199186/cdc_199186_DS1.pdf
• File Type:
  [PDF - 107.96 KB ]