The results of tuberculin skin test and the risk of tuberculosis in autopsy workers.
Objective: Tuberculosis (TB) is a disease that arises due to M. tuberculosis complex and usually involves the lungs but can also affect other organs or organ systems. The number of people who died in Turkey was 210146 in 2006 and 0.11% (n=249) of them died because of pulmonary tuberculosis. During a...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 30; no. 6; pp. 1876 - 1884 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Turkiye Klinikleri
Dec2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104812775&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104812775 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Dec2010 vid: 30 iid: 6 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104812775 2010937915 10.5336/medsci.2009-12572 104812775 ppf: 1876 ppct: 8 formats: fmt: @attributes: type: P tig: atl: The results of tuberculin skin test and the risk of tuberculosis in autopsy workers. aug: au: Özsoy, Sait Akar, Taner Gümüs, Seyfettin Hakan, Ahmet Demirel, Birol Safali, Mukerrem affil: Department of Forensic Medicine, Pulmonary Medicine and Tuberculosis, Gulhane Military Medical Academy sug: subj: Autopsy Adverse Effects Occupational Exposure Tuberculin Test Tuberculosis Risk Factors Adult Analysis of Variance Case Control Studies Chi Square Test Data Analysis Software Descriptive Statistics Female Health Personnel, Infected Human Male Mann-Whitney U Test Maximum Likelihood Pearson's Correlation Coefficient Radiography, Thoracic Spearman's Rank Correlation Coefficient T-Tests Tuberculosis Physiopathology Univariate Statistics Adult: 19-44 years Female Male ab: Objective: Tuberculosis (TB) is a disease that arises due to M. tuberculosis complex and usually involves the lungs but can also affect other organs or organ systems. The number of people who died in Turkey was 210146 in 2006 and 0.11% (n=249) of them died because of pulmonary tuberculosis. During autopsy, many microparticles (aerosols) can be generated while taking the organ out of the body, washing the body, or using the oscillating saw. If these aerosols may contain bacilli that can easily infect the health workers. Tuberculin skin test (TST) determines delayed type hypersensitivity reactions to some antigenic components of microorganism. The only sign of latent tuberculosis infection is positive TST. In our study, we aimed to calculate the exposure rate of the autopsy workers to TB bacillus by evaluating TST measurements and chest radiograms. Material and Methods: The study group was composed of 25 physicians and five autopsy technicians. The control group was composed of 30 physicians, residents and specialists of basic medical sciences except of Microbiology. Both groups were evaluated by TST and chest X-rays from TB point of view. We used TST reaction evaluation criteria that was suggested by Ministry of Health of Republic of Turkey while evaluating TST measurements. All measurements were analyzed statistically. Results: TST positivity ratio is determined as 83.3% in the study group and 33.3% in the control group. The mean of TST measurement value is determined as 13.8±4.7 mm in the study group and 8.6±2.2 mm in the control group. There were no statistically significant differences between two groups concerning age, height, marital status, occupational experience or smoking habits (p>0.05). There was a statistically significant difference between study and control groups for the TST values were (F=11.786; p=0.001). There were no statistically significant differences for gender, smoking and interaction between gender-group and smoking-group (p>0.05). Established ANOVA model (univariate ANOVA); explained the =0.903 of TST change and it was statistically significant (F=71.159; p<0.001). There was a statistically significant correlation between TST results and time spent in the autopsy room (r=0.553; p=0.002). Conclusion: Our study shows that autopsy workers have a high risk of TB exposure. We suggest that autopsy workers should be examined for occupational TB exposure. Furthermore, morgue buildings and autopsy rooms of our country should be designed in accordance with the international standards, and measures should be taken in this regard without delay. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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