Interferon Gamma Release Assay versus Tuberculin Skin Testing among Healthcare Workers of Highly Diverse Origin in a Moderate Tuberculosis Burden Country

Autor: Sahar Althawadi, Mohammed Shoukri, Bright Varghese, Abdulaziz Alsaif, Ali S. Alzahrani, Abdallah Alkhenizan, Alria Datijan, Abdulrahman A. Alrajhi, Grace Mary Fernandez, Sahal Al Hajoj
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Bacterial Diseases
Medical Doctors
Cross-sectional study
Health Care Providers
Interferon gamma release assay
Nurses
lcsh:Medicine
Logistic regression
Geographical locations
0302 clinical medicine
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Allied Health Care Professionals
education.field_of_study
Multidisciplinary
Middle Aged
Vaccination and Immunization
Actinobacteria
Vaccination
Professions
Infectious Diseases
Female
Research Article
Adult
medicine.medical_specialty
Asia
Tuberculosis
Health Personnel
Immunology
Population
Saudi Arabia
Tuberculin
Young Adult
03 medical and health sciences
Tuberculosis diagnosis
Physicians
Internal medicine
medicine
Humans
education
Bacteria
Tuberculin Test
business.industry
lcsh:R
Organisms
Biology and Life Sciences
Tropical Diseases
medicine.disease
bacterial infections and mycoses
Surgery
Health Care
Cross-Sectional Studies
030228 respiratory system
People and Places
Population Groupings
lcsh:Q
Preventive Medicine
business
Interferon-gamma Release Tests
Mycobacterium Tuberculosis
Zdroj: PLoS ONE, Vol 11, Iss 5, p e0154803 (2016)
PLoS ONE
ISSN: 1932-6203
Popis: Health care workers (HCW’s) are always at an increased risk of contracting tuberculosis (TB) infection. In Saudi Arabia, Interferon Gamma Release Assay (IGRA) has not been evaluated as a screening tool for latent TB infection (LTBI) among HCW’s considering their high demographic diversity. During February 2012 to January 2015 a cross sectional study has been conducted in a tertiary care center with maximum demographically diverse staff population in the capital city-Riyadh. After a short interview and consenting, all the candidates were subjected to tuberculin skin test (TST) and QuantiFERON TB gold In-tube test (QFT). A logistic regression analysis was carried out for establishing the associations between putative risk factors and the diagnostic tests. The candidates were classified according to geographical origin and a detailed analysis was conducted on the impact of their origin towards the results of TST and QFT. Of the 1595 candidates enrolled, 90.6% were BCG vaccinated, female (67.9%) and mainly nurses (53.2%). Candidates with high risk of suspected or confirmed TB patient exposure were 56.1% and 76.5% of them had
Databáze: OpenAIRE