Biological risk factor of occupational morbidity with tuberculosis among medical professionals
https://doi.org/10.31089/1026-9428-2018-8-52-57
Abstract
The article presents molecular genetic characteristics of M. tuberculosis circulating in Omsk region, as a biologic risk factor of tuberculosis morbidity among medical institutions workers. The authors used descriptive method of epidemiologic study, method of MIRUVNTR-typing of M. tuberculosis DNA. Findings are M. tuberculosis stains of Beijing genotype with VNTR-profile 233325173533424, isolated out of tuberculosis patients cluster being under stationary treatment. 65.2% of the stains had multiple drug-resistance to anti-tuberculosis medications. Respiratory tuberculosis was diagnosed in 85.4% of the cases, extra-pulmonary tuberculosis (urinary system, peripheral lymph nodes, eyes, CNS tuberculosis) equaled 14.6%. Nearly 30% of tuberculosis cases in the health care workers were associated with the bacterioexcretion.
About the Authors
O. A. PasechnikRussian Federation
8, Ak. Lavrentieva Ave., Novosibirsk, 630090
O. V. Plotnikova
Russian Federation
8, Ak. Lavrentieva Ave., Novosibirsk, 630090
V. L. Stasenko
Russian Federation
8, Ak. Lavrentieva Ave., Novosibirsk, 630090
M. A. Dymova
Russian Federation
10, Ak. Lavrentieva Ave., Novosibirsk, 630090
References
1. Hygienic and epidemiological requirements to the working conditions of health workers who perform work related to the risk of infectious diseases. Guidelines. 2.2.9.2242–07.Moscow: 36 (in Russian).
2. Tuberculosis in the WHO European Region. Bulletin. Available at: http://www.euro.who.int/ru.
3. Joshi R., Reingild A.L., Menzies D., Pai M. Tuberculosis among health-care workers in lowand middle-income countries: a systematic review. PloS Med. 2006; 3: 494.
4. Narvskaya O.V.,Mokrousov I.V., Vyazovaya A.A. et al. Causing agent molecular-genetic analysis in TB epidemiological surveillance. Meditsinskiyal’yans. 2014; 1: 75–78 (in Russian).
5. Supply P., Allix C., Lesjean S. et al. Proposal for standardization of optimized mycobacterial interspersed repetitive unitvariable-number tandem repeat typing of Mycobacterium tuberculosis. J. Clin. Microbiol. 2006; 44 (12): 4498–510.
6. Myasnikova E.B., Sagieva N.R. ,Zhuravlev V.Y., Yablonsky P.K. Nosocomial TB infection: need in epidemiologic diagnosis concept. Meditsinskiyal’yans. 2014; 1: 6–19 (in Russian).
7. Kornachev A.S., Semina N.A. Zhuravlev A.L. et al. Features of the epidemic process of nosocomial tuberculosis in multidisciplinary hospitals. Epidemiologiya i infektsionnyye bolezni. 2007; 2: 52–5 (in Russian).
8. Sarmometov E.V., Sergevnin V.I., Mikova O.E. et al. The frequency of mycobacteria contamination of working environment in medical organization providing care for patients with HIV infection. Meditsina v Kuzbasse. 2015; 4: 40–5(in Russian).
9. Petrukhina M.I., Politova N.G., Starostina N.V. Tuberculosis infection of multidisciplinary medical personnel. Medial’. 2015; 3 (17): 79 (in Russian).
10. He G.X., Wang L.X.,Chai SJ et al. Risk factors associated with tuberculosis infection among health care workers in Inner Mongolia, China. Int. J. Tuber. Lung. Dis. 2012;16 (11): 1485–91.
11. Vasilyeva N.R. Retrospective epidemiological analysis of cases of genotype change in M. tuberculosis in patients with pulmonary tuberculosis. Medial’. 2015; 3 (17): 44 (in Russian).
Review
For citations:
Pasechnik O.A., Plotnikova O.V., Stasenko V.L., Dymova M.A. Biological risk factor of occupational morbidity with tuberculosis among medical professionals. Russian Journal of Occupational Health and Industrial Ecology. 2018;(8):52-57. (In Russ.) https://doi.org/10.31089/1026-9428-2018-8-52-57