Rate of Tuberculosis among Healthcare providers of Gynecology and Obstetrics Departments of a District Level Hospital
DOI:
https://doi.org/10.1996/pjcm.v28i4.794Keywords:
Tuberculosis, Gynecology, Obstetric, Zanana Hospital, Dera Ismail KhanAbstract
Background: Tuberculosis (TB) can infect individuals of all ages and genders, irrespective of their occupation or social status. Various studies have reported different TB infection rates in different populations and departments. However, to date, no such study has been conducted to determine the prevalence of TB among healthcare providers in the Obstetrics and Gynecology department.Objectives: To find out the prevalence of TB among healthcare providers of the Gynecology and Obstetrics department of a district-level hospital in Dera Ismail Khan, Pakistan.Methodology: This study was conducted in Zanana Hospital, Dera Ismail Khan from May 2021 to April 2022. A total of 300 participants were included in this study. These participants were those patients who attended the two departments of the hospital named, the Department of Gynecology and Obstetrics. Demographic data, including age, gender, occupation, and medical history, were gathered and recorded in a Microsoft Excel spreadsheet. Medical records of the patients were obtained from the hospital's electronic medical records system to retrieve laboratory results, clinical diagnoses, treatments, and patient previous treatment outcomes. For analysis purposes, the data were transferred to STATA 14.Results: It was discovered that health facilitators working in Gynecology and Obstetrician had contracted tuberculosis, with 29.3% (88/300) being affected. Incidences and diagnoses of M. tuberculosis were drastically more common in males than females, with rates of 44.2% and 32.8%, respectively (p=0.034). Those undergoing treatment showed a completion rate of 59%, but adverse effects occurred for 28.7% of those taking a combination of anti-TB medication. Through logistic regression analysis, it was concluded that males were significantly more at risk for TB than females, with an odds ratio of 1.46 and a 95% confidence interval of 1.04-2.04.Conclusion: The incidence, detection, and prevalence of tuberculosis were studied among health workers in both the Department of Gynecology and obstetricians, revealing a need for healthcare providers to share relevant information to reduce the disease burden. Suggestions were made to support protocols and initiatives to tackle the issue.References
Fogel N. Tuberculosis: a disease without boundaries. Tuberculosis. 2015;95(5):527-31.
Kim KH, Kabir E, Jahan SA. Airborne bioaerosols and their impact on human health. J Environ Sci. 2018;67:23-35.
Hussain M, Madl P, Khan A. Lung deposition predictions of airborne particles and the emergence of contemporary diseases, Part-I. Health. 2019;2(2):51-9.
Nardell EA. Transmission and institutional infection control of tuberculosis. Cold Spring Harb Perspect Med. 2018;6(2):a018192.
Shao Z, Chow MY, Chow SF, Lam JK. Co-delivery of D-LAK antimicrobial peptide and capreomycin as inhaled powder formulation to combat drug-resistant tuberculosis. Pharm Study. 2023:1-4.
Makrufardi F, Bai KJ, Suk CW, Rusmawatiningtyas D, Chung KF, Chuang HC. Alveolar deposition of inhaled fine particulate matter increases the risk of severity of pulmonary tuberculosis in the upper and middle lobes. ERJ Open Study. 2023;9(4).
Long R, Divangahi M, Schwartzman K. Chapter 2: Transmission and pathogenesis of tuberculosis. Can J Respir Crit Care Sleep Med. 2022;6(sup1):22-32.
De Waard L, Langenegger E, Erasmus K, Van der Merwe T, Olivier SE, Du Toit N, Paulsen C, Nkangana N, Van Niekerk M, Moodley A, Schell S. Maternal and neonatal outcomes of COVID-19 in a high-risk pregnant cohort with and without HIV. S Afr Med J. 2021;111(12):1174-80.
Sinaci S, Tokalioglu EO, Ocal D, Atalay A, Yilmaz G, Keskin HL, Erdinc SO, Sahin D, Tekin OM. Does having a high-risk pregnancy influence anxiety levels during the COVID-19 pandemic? Eur J Obstet Gynecol Reprod Biol. 2020;255:190-6.
Klever AM, Alexander K, Almeida D, Anderson MZ, Ball RL, Beamer G, Boggiatto P, Buikstra JE, Chandler B, Claeys TA, Concha AE. The Many Hosts of Mycobacteria 9 (MHM9): A conference report. Tuberculosis. 2023:102377.
Fang Y, Nie Y, Penny M. Transmission dynamics of the COVID‐19 outbreak and effectiveness of government interventions: A data‐driven analysis. J Med Virol. 2020;92(6):645-59.
Yang JD, Hainaut P, Gores GJ, Amadou A, Plymoth A, Roberts LR. A global view of hepatocellular carcinoma: trends, risk, prevention, and management. Nat Rev Gastroenterol Hepatol. 2019;16(10):589-604.
World Health Organization. (2020). Global Tuberculosis Report 2020. WHO.
Baussano I, Nunn P, Williams B, Pivetta E. Tuberculosis among health care workers. Emerg Infect Dis. 2011;17(3):488-94.
Joshi R, Reingold AL. Men and tuberculosis in the United States. JAMA. 2006; 296(6): 696-98.
Menzies D, Joshi R, Pai M. Risk of tuberculosis infection and disease associated with work in health care settings. In: Menzies D, editor. Can Tuberculosis Standards. 7th ed. Ottawa: Government of Canada, 2014.
Escombe AR, Oeser CC, Gilman RH, Navincopa M, Ticona E, Martínez C, Moore DA. Natural ventilation for the prevention of airborne contagion. PLoS Med. 2007;4(2):e68.
Harries AD, Zachariah R, Corbett EL. The HIV-associated tuberculosis epidemic-when will we act? Lancet. 2009;375(9729):1906-19.
Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings. MMWR Recomm Rep. 2005;54(RR-17):1-141.
World Health Organization. Guidelines on tuberculosis infection prevention and control: 2019 update.
World Health Organization. Latent tuberculosis infection: Updated and consolidated guidelines for programmatic management. WHO. 2020.
Erkuş ME, Metintaş M, Metintaş S, Kalyoncu C, Yıldırım G. Assessment of the knowledge of tuberculosis patients about the disease. Clin Resp J. 2005;1(1):31-6.
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