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국내 의료기관 근무자에서 발생한 활동성 결핵의 양상

Other Titles
 A Retrospective Descriptive Study on the Status of Active Tuberculosis among Healthcare Workers in a ertiary Hospital 
 조윤숙  ;  손유진  ;  현종훈  ;  백예지  ;  김무현  ;  김정호  ;  안진영  ;  정수진  ;  구남수  ;  염준섭  ;  최준용 
 Korean Journal of Healthcare-associated Infection Control and Prevention (의료관련감염관리), Vol.26(2) : 89-95, 2021-12 
Journal Title
Korean Journal of Healthcare-associated Infection Control and Prevention(의료관련감염관리)
Issue Date
Active tuberculosis ; Health care workers
Background: Healthcare workers are vulnerable to tuberculosis because they are frequently exposed to patients with active tuberculosis. This study aimed to describe the clinical and epidemiological characteristics of active tuberculosis among healthcare workers in a hospital in South Korea.
Methods: This retrospective descriptive study included 30 healthcare workers diagnosed with active tuberculosis between 2009 and 2019 in a tertiary hospital in South Korea. We reviewed the medical records for clinical findings and treatment processes. Their baseline characteristics were analyzed based on the presence or absence of symptoms. The risk of developing active tuberculosis by not only occupational groups in the medical field but also high-risk groups with possibility of contact with patients with tuberculosis was evaluated.
Results: Female healthcare workers accounted for 83.3% of the participants. The average age was 31.7 years, and the average duration from employment to diagnosis was 52.69 months. Of the subjects, 6.7% had a body mass index of <18.5 kg/m2. Moreover, 86.7% were in the normal weight range. The most frequent symptom was cough for >3 weeks. The acid-fast bacillus (AFB) smear test and AFB culture were performed for all participants. Furthermore, 70% of the samples showed positive culture results. Regarding occupational distribution, the number of nurses was highest at 56%. The majority of healthcare workers worked in high-risk areas, being in contact with patients with tuberculosis. Pulmonary tuberculosis was noted in 25 patients. The other five patients had extrapulmonary tuberculosis. All subjects were treated with primary anti-tuberculosis medications. The average treatment duration was 6 months (66.7%).
Conclusion: Healthcare workers who work in areas with possibility of contact with patients with tuberculosis are at high risk of active tuberculosis infection. Therefore, continuous screening and comprehensive tests are required.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ku, Nam Su(구남수) ORCID logo https://orcid.org/0000-0002-9717-4327
Kim, Jung Ho(김정호) ORCID logo https://orcid.org/0000-0002-5033-3482
Baek, Yae Jee(백예지)
Ahn, Jin Young(안진영) ORCID logo https://orcid.org/0000-0002-3740-2826
Yeom, Joon Sup(염준섭) ORCID logo https://orcid.org/0000-0001-8940-7170
Jeong, Su Jin(정수진) ORCID logo https://orcid.org/0000-0003-4025-4542
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
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