This study was designed to assess the current incidence of tuberculosis (TB) in National Health Service hospital staff in the West Midlands region of England and to evaluate the effectiveness of occupational health screening and surveillance procedures.
A four year prospective study (1992-5) was carried out with case ascertainment through occupational health departments and the Midlands Thoracic Society registry of rare respiratory diseases.
Results No case was known to an occupational health department that was not notified by the registry and, in addition, the registry yielded a further six cases.
There were 26 cases of active TB, of which 24 presented with symptoms and 12 had no pre-employment screening.
All except one doctor were foreign born - mainly from the Indian subcontinent (ISC) - and of recent UK entry, whilst all except one nurse were white females.
The following are annual TB incidences per 104 (95% confidence interval) :
ISC and non-white doctors 17.0 (7.8 to 26.2), not significantly greater than in the local ISC and non-white social class 1 working age population (11.8 (8.5 to 15.1)) ;
white nurses 0.6 (0.2 to 1.0), significantly greater (p<0.05) than that of white women in the local social class 2 working age population (0.2 (0.1 to 0.3)) ;
others (mortuary attendant, physiotherapist, radiographer and theatre technician) 1.0 (0.02 to 2.0), not significantly greater than in the local social class 2 working age population (0.6). (...)
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Poumon, Angleterre, Grande Bretagne, Royaume Uni, Europe, Personnel sanitaire, Hôpital, Médecine travail, Incidence, Epidémiologie, Homme, Appareil respiratoire pathologie, Poumon pathologie
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Lung, England, Great Britain, United Kingdom, Europe, Health staff, Hospital, Occupational medicine, Incidence, Epidemiology, Human, Respiratory disease, Lung disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0037209
Code Inist : 002B05B02O. Création : 17/04/1998.