ArticleBMC infectious diseases2017
The neglected burden of tuberculosis disease among health workers: a decade-long cohort study in South Africa.
Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Pooled it
- Evidence for the Use of Triage, Respiratory Isolation, and Effective Treatment to Reduce the Transmission of Mycobacterium Tuberculosis in Healthcare Settings: A Systematic Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Pooled it
- Workplace HIV and TB Programmes for Laboratory Health Workers: A Rapid Review.Safety and health at work · 2026Review
- Protecting healthcare workers during a pandemic: what can a WHO collaborating centre research partnership contribute?Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- The direct and indirect impact of COVID-19 pandemic on maternal and child health services in Africa: a scoping review.Global health research and policy · 2022Article
- Organisational Culture and Mask-Wearing Practices for Tuberculosis Infection Prevention and Control among Health Care Workers in Primary Care Facilities in the Western Cape, South Africa: A Qualitative Study.International journal of environmental research and public health · 2021Article
- Proceedings from the CIHBMC proceedings · 2020Article
- Epidemiological characteristics of pulmonary tuberculosis among health-care workers in Henan, China from 2010 to 2017.BMC infectious diseases · 2020Article
- Perceived Health System Barriers to Tuberculosis Control Among Health Workers in South Africa.Annals of global health · 2020Article
- Article
- TB treatment delay associated with drug resistance and admission at Daru General Hospital in Papua New Guinea.Public health action · 2019Article
- The Occupational Burden of Nonmalignant Respiratory Diseases. An Official American Thoracic Society and European Respiratory Society Statement.American journal of respiratory and critical care medicine · 2019Review
- Feasibility of using postal and web-based surveys to estimate the prevalence of tuberculosis among health care workers in South Africa.PloS one · 2018Article
- Protecting those who care for others.Public health action · 2017Article
- Occupational tuberculosis in South Africa: are health care workers adequately protected?Public health action · 2017Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundHealth workers (HWs) in resource-limited settings are at high-risk of exposure to tuberculosis (TB) at work. The aim of this study was to estimate the rate of TB disease among HWs in the Free State Province of South Africa between 2002 and 2012 and to compare demographic and clinical characteristics between HWs and the general population with TB. This study also explores the effect of occupational variables on risk of TB among HWs.
methodsProbabilistic record linkage was utilized to identify HWs who were also registered as TB patients. This historical prospective cohort study calculated incidence rate ratios (IRR) for TB disease among HWs in Free State from 2002 to 2012. Generalized linear mixed-effects regression was used to model the association between sex, race, facility type, occupation, duration of employment, and the rate of TB.
resultsThere were 2677 cases of TB diagnosed among HWs from 2002 to 2012 and 1280 cases were expected. The overall TB incidence rate in HWs during the study period was 1496·32 per 100,000 compared to an incidence rate of 719·37 per 100,000 in the general population during the same time period. IRR ranged from 1·14 in 2012 to 3·12 in 2005. HWs who were male, black, coloured and employed less than 20 years had higher risk of TB. Facility type and occupation were not associated with increased risk of TB when adjusted for other covariates.
conclusionHWs in South Africa have higher rates of TB than the general population. Improved infection prevention and control measures are necessary in all high-burden TB healthcare settings.
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