Analysis of Tuberculosis Incidence among Employees of Forensic Medicine Bureau in Tyumen Region in 2003-2022
https://doi.org/10.58838/2075-1230-2024-102-1-20-25
Abstract
The objective: to analyze tuberculosis incidence and assess prevalence of latent tuberculosis infection (LTBI) among employees of Forensic Medicine Bureau (FMB) in Tyumen Region.
Subjects and Methods. Tuberculosis incidence was retrospectively studied, and employees of Forensic Medicine Bureau in Tyumen Region were examined in order to detect latent tuberculosis infection.
Results. In 2003-2022, the long-time average annual incidence made 105.4±23.6 per 10,000 workers. The number of employees who had suffered tuberculosis with up to 5 years of experience in the bureau was greater versus employees with 6-10 years of experience and 11-15 years of experience. The level of LTBI based on the TRA test results was 32.7±4.5%. Tuberculosis incidence and the rate of LTBI among employees performing autopsies were higher versus employees of other departments of Forensic Medicine Bureau.
About the Authors
R. M. Timofeev
Tyumen State Medical University;
Regional Forensic Medicine Bureau
Russian Federation
Russian Federation
Roman M. Timofeev, Assistant of the Department of Hygiene, Ecology and Epidemiology, Forensic Doctor of Forensic Medical Examination Bureau
54 Odesskaya St., Tyumen, 625023
A. N. Marchenko
Tyumen State Medical University
Russian Federation
Russian Federation
Aleksandr N. Marchenko, Doctor of Medical Sciences, Head of Department of Hygiene, Ecology and Epidemiology
54 Odesskaya St., Tyumen, 625023
N. D. Pirogova
Regional Clinical Phthisiopulmonary Center
Russian Federation
Russian Federation
Natalya D. Pirogova, Head Physician
2A Kurortnaya St., Tyumen, 625017
A. A. Kalashnikov
Regional Forensic Medicine Bureau
Russian Federation
Russian Federation
Aleksandr A. Kalashnikov, Head of Forensic Medicine Bureau
14 Yury Semovskikh St., Tyumen, 625032
References
1. Golubev D.N., Egorova O.S., Mordovskoy G.G., Medvinskiy I.D. Tuberculosis incidence among medical workers in anti-tuberculosis institutions in Sverdlovsk Region. Ftisiatriya i Pulmonologiya, 2015, no. 1, pp. 58-75. (In Russ.)
2. Dmitrienko Yu.V. Osobennosti epidemiologicheskogo nadzora i profilaktika zarazheniy tuberkulezom personala uchrezhdeniy sudebno-meditsinskoy ekspertizy. Dis. kand. med. nauk. [Specific featuresof epidemiological surveillance and prevention of tuberculosis infection among personnel of forensic medical examination institutions. Doct. Diss.]. Moscow, 2006, 207 p.
3. Zorina M.M., Filimonov P.N., Felker I.G., Maltsev A.V. Estimation of the spread of latent tuberculosis infection among tuberculosis facility employees. Tuberculosis and Lung Diseases, 2014, no. 5, pp. 66-69. (In Russ.) https://doi.org/10.21292/2075-1230-2014-0-5-66-68
4. Istomina E.V., Zinchenko Yu.S., Belyaeva E.N., Basantsova N.Yu., Starshinova A.A. Early diagnosis of tuberculosis infection in employees of TB units and general hospitals. Tuberkulez i Sotsialno-Znachimye Zabolevaniya, 2018, no. 4, pp. 4-9. (In Russ.)
5. Klevno V.A., Kolkutin V.V., Kadochnikov D.S., Zigalenko D.G. Retrospective epidemiological analysis of occupational infectious morbidity among employees of state forensic medical institutions from 1990 to 2005. Sud. Med. Ekspert, 2007, no. 4, pp. 27-29. (In Russ.)
6. Natarova A.A., Saarkoppel L.M. Assessment of the level and risk factors of occupational morbidity among medical workers. Fundamentalnye Issledovaniya, 2015, no. 1-9, pp. 1873-1877. (In Russ.)
7. Pasechnik O.A., Plotnikova O.V., Stasenko V.L., Dymova M.A. Biological risk factor for occupational incidence of tuberculosis in medical workers. Meditsina Truda i Promyshlennaya Ekologiya, 2018, no. 8, pp. 52-57. (In Russ.) https://doi.org/10.31089/1026-9428-2018-8-52-57
8. Petrukhin N.N., Loginova N.N., Andreenko O.N., Grebenkov S.V., Boyko I.V., Ornitsan E.Yu. Pulmonary tuberculosis in healthcare workers of the North-West Federal District. Pulmonologiya, 2019, vol. 29, no. 5, pp. 590-595. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-5-590-595
9. Satsuk A.V., Akimkin V.G., Khrapunova I.A., Polibin R.V., Efimov M.V., Lytkina I.N. Tuberculosis incidence among healthcare workers in Moscow (1995-2008). Epidemiologiya i Infektsionnye Bolezni, 2010, no. 4, pp. 15-20. (In Russ.)
10. Sergeeva I.V., Tikhonova E.P., Andronova N.V., Kuzmina T.Yu., Zotina G.P. The incidence of infectious diseases among medical workers, whether this is related to their professional activities. Sovremennye Problemy Nauki i Obrazovaniya, 2015, no. 6, pp. 24. (In Russ.)
11. Starshinova A.A., Kudlay D.A., Dovgalyuk I.F., Basantsova N.Yu., Zinchenko Yu.S., Yablonskiy P.K. Efficacy of new methods of immunodiagnostics of tuberculous infection in the Russian Federation. Pediatriya, Journal im. G.N. Speransky 2019, vol. 98(4), pp. 229-235. (In Russ.)
12. Timofeev R.M., Marchenko A.N., Kalashnikov A.A. Assessment of the microbial contamination intensity of the bureau of forensic medical expertise production environment objects. Meditsinskaya Nauka i Obrazovanie Urala, 2022, vol. 23, no. 2 (110), pp. 63-69. (In Russ.) https://doi.org/10.36361/18148999_2022_23_2_63
13. Timofeev R.M., Marchenko A.N., Kalashnikov A.A. Evaluation of the efficiency of the system of ensuring epidemiological safety in the bureau of forensic medical examination of the Tyumen region. Meditsinskaya Nauka i Obrazovanie Urala, 2022, vol. 23, no. 4 (112), pp. 106-111. (In Russ.) https://doi.org/10.36361/18148999_2022_23_4_106
14. Collins C.H., Grange J.M. Tuberculosis acquired in laboratories and necropsy rooms. Communicable Disease and Public Health, 1999, vol. 2, no. 3, pp. 161-167.
15. Sawhney N., Mehta S., Singh V.A., Shinu P. Application of tuberculin skin test in diagnosis of latent tuberculosis: a two year experience in a tertiary care hospital. J. Pharm. Biomed. Sci., 2015, vol. 5, pp. 643-649.
16. Slogotskaya L.V., Bogorodskaya Е., Ivanova D., Makarova M., Guntupova L., Litvinov V., Seltsovsky P., Kudlay D.A., Nikolenko N. Sensitivity and specificity of new skin test with recombinant protein CFP10-ESAT6 in patients with tuberculosis and individuals with non- tuberculosis diseases. European Respiratory Journal, Suppl., 2013, vol. 42(S57), pp. 1995.
17. Slogotskaya L.V., Litvinov V., Kudlay D.A., Ovsyankina E., Seltsovsky P., Ivanova D., Nikolenko N. New skin test with recombinant protein CFP10-ESAT6 in patients (children and adults) with tuberculosis, non-tuberculosis disease and latent TB infection. European Respiratory Journal, 2012, vol. 40(S56), pp. 416.
18. Stephenson L., Byard R.W. Issues in the handling of cases of tuberculosis in the mortuary. Journal of Forensic and Legal Medicine, 2019, vol. 64, pp. 42-44. https://doi.org/10.1016/j.jflm.2019.04.002.
19. Templeton G.L., Illing L.A., Young L., et al. The risk for transmission of Mycobacterium tuberculosis at the bedside and during autopsy. Annals of Internal Medicine, 1995, vol. 122, no. 12, pp. 922-925. https://doi.org/10.7326/0003-4819-122-12-199506150-00005
20. Uden L., Barber E., Ford N., Cooke G.S. Risk of tuberculosis infection and disease for health care workers: an updated meta-analysis. Open Forum Infectious Diseases, US, Oxford University Press, 2017, vol. 4, no. 3, pp. ofx137. https://doi.org/10.1093/ofid/ofx137
21. Wilkins D., Woolcock A.J., Cossart Y.E. Tuberculosis: medical students at risk. Medical Journal of Australia, 1994, vol. 160, no. 7, pp. 395-397.
22. World Health Organization. The END TB strategy. Available: http://www.who.int/tb/End_TB_brochure.pdf Accessed February 02, 2023
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For citations:
Timofeev R.M., Marchenko A.N., Pirogova N.D., Kalashnikov A.A. Analysis of Tuberculosis Incidence among Employees of Forensic Medicine Bureau in Tyumen Region in 2003-2022. Tuberculosis and Lung Diseases. 2024;102(1):20-25. (In Russ.) https://doi.org/10.58838/2075-1230-2024-102-1-20-25
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