Risk of Tuberculin Skin Test Conversion among Health Care Workers: Occupational versus Community Exposure and Infection

Autor: Cara L. Biddle, Patricia Parrott, Henry M. Blumberg, Nina M. Larsen, Nancy White, Mark J. Sotir
Rok vydání: 2002
Předmět:
Zdroj: Clinical Infectious Diseases. 35:796-801
ISSN: 1537-6591
1058-4838
DOI: 10.1086/342333
Popis: A prospective observational cohort study to assess rates of and risk factors for tuberculin skin test (TST) conversion among health care workers (HCWs) was conducted at an urban hospital located in a high tuberculosis-incidence area in 1994-1998. All hospital employees undergoing required testing every 6 months were included. A total of 69 (1.2%) of 5773 susceptible employees had a documented TST conversion (overall rate, 0.38 per 100 person-years worked). No significant difference existed in conversion rates among employees with frequent, limited, or no patient contact. HCWs with a TST conversion lived in zip codes with higher tuberculosis case rates (P< or =.05). In multivariate analysis, TST conversion was associated with history of bacille Calmette-Guerin vaccination (relative risk [RR], 11.63), annual salary
Databáze: OpenAIRE