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Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries—A Systematic Review and Meta-Analysis

Author

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  • Claudia Peters

    (Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany)

  • Agnessa Kozak

    (Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany)

  • Albert Nienhaus

    (Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany
    Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany)

  • Anja Schablon

    (Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany)

Abstract

Healthcare workers (HCWs) have increased risk for latent tuberculosis infection (LTBI) and tuberculosis (TB) disease due to their occupational exposure. For some years now, interferon-γ release assays (IGRAs) have replaced the tuberculin skin test for the diagnosis of LTBI in many countries. This review examined the occupational risk of LTBI in HCWs with IGRA testing in low incidence countries. A systematic review and meta-analysis of studies from 2005 onwards provide data regarding the prevalence of LTBI in HCWs. In addition, the pooled effect estimates were calculated for individual regions and occupational groups. 57 studies with 31,431 HCWs from four regions and a total of 25 countries were analysed. The prevalence of LTBI varied from 0.9 to 85.5%. The pooled estimation found the lowest prevalence of LTBI for North American and West Pacific countries (<5%), and the highest prevalence for Eastern Mediterranean countries (19.4%). An increased risk for LTBI was found only for administrative employees. Studies on the occupational risk of LTBI continue to show increased prevalence of HCWs, even in low-incidence countries. Good quality studies will continue to be needed to describe occupational exposure.

Suggested Citation

  • Claudia Peters & Agnessa Kozak & Albert Nienhaus & Anja Schablon, 2020. "Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by Interferon-Gamma Release Assays in Low Incidence Countries—A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(2), pages 1-16, January.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:581-:d:309404
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    References listed on IDEAS

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    1. Sahal Al Hajoj & Bright Varghese & Alria Datijan & Mohammed Shoukri & Ali Alzahrani & Abdallah Alkhenizan & Abdulaziz AlSaif & Sahar Althawadi & Grace Fernandez & Abdulrahman Alrajhi, 2016. "Interferon Gamma Release Assay versus Tuberculin Skin Testing among Healthcare Workers of Highly Diverse Origin in a Moderate Tuberculosis Burden Country," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-11, May.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Rebecca Malsam & Albert Nienhaus, 2021. "Occupational Infections among Dental Health Workers in Germany—14-Year Time Trends," IJERPH, MDPI, vol. 18(19), pages 1, September.
    2. Halim Ismail & Naiemy Reffin & Sharifa Ezat Wan Puteh & Mohd Rohaizat Hassan, 2021. "Compliance of Healthcare Worker’s toward Tuberculosis Preventive Measures in Workplace: A Systematic Literature Review," IJERPH, MDPI, vol. 18(20), pages 1, October.
    3. Lisa Hermes & Jan Felix Kersten & Albert Nienhaus & Anja Schablon, 2020. "Risk Analysis of Latent Tuberculosis Infection among Health Workers Compared to Employees in Other Sectors," IJERPH, MDPI, vol. 17(13), pages 1-10, June.
    4. Jan Felix Kersten & Albert Nienhaus & Stephanie Schneider & Anja Schablon, 2020. "Tuberculosis among Health Workers—A Secondary Data Analysis of German Social Accident Insurance Data from 2002–2017," IJERPH, MDPI, vol. 17(5), pages 1-9, February.

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