Diagnosis and management of tuberculosis among healthcare workers at a tertiary hospital in Vietnam

https://doi.org/10.52322/jocmbmh.07.en.09

Introduction: Tuberculosis (TB) is an occupational hazard for health care workers (HCWs) who are at greater risk of developing TB than the general population.

Objectives: The objective of this study was to describe the diagnosis and management of TB among HCWs at a tertiary hospital, Vietnam.

Material and Methods: A cross-sectional study was conducted at Bach Mai Hospital, Viet Nam. It is the biggest tertiary general hospital in Vietnam with 4000 employees. Medical records of personnel with TB infection from 2010 to 2019 were reviewed to determine the newly diagnosis and management of TB infection and collect the data of socio-demographic characteristic, medical histories, disease history, comorbidities, lab-tests and treatment outcomes.

Results:  In nine years, 34 personnel were diagnosed with new onset TB disease. The most common of TB infection was pulmonary TB (64.7%). The infection rate in females was higher than in males. Nurses had the highest proportion of infected personnel (67.7%), following was in TB in doctors (17.7%). Among HCWs with TB had sensitivity to all first-line drug with 85.3%, resistance to any one of the first line drug of 8.8%, and multidrug-resistant TB (MDR-TB) of 5.9 %. The success rate at end of treatment was 97%.

Conclusions: TB is a major occupational hazard in Bach Mai hospital, VietNam, where a great potential exists for further development of an effective infection control plan.

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