Русский
Risk of COVID-19 infection in medical workers of anti-tuberculosis facilities infected with M. tuberculosis
DOI: https://dx.doi.org/10.18565/epidem.2024.14.4.55-9
Khristoforova E.L., Bogorodskaya E.M., Nozdrevatykh I.V., Kotova E.A.
1) Moscow City Scientific and Practical Center for Tuberculosis Control, Department of Health of the city of Moscow; 2) Russian Medical Academy of Continuous Professional Education, Moscow, Russia
Materials and methods. The analysis of the results of immunological testing of employees of anti-tuberculosis institutions for LTBI as a professional contact group for tuberculosis was carried out. The prevalence of LTBI was studied depending on gender, age, professional activity, and the relationship between the presence of LTBI and COVID-19 incidence.
Results. The average prevalence of M. tuberculosis among employees of the anti-tuberculosis institution was 9.7% and was related to professional activity - the highest among mid-level and junior medical personnel: 11.4 and 15.7%, respectively. Among health care workers, the likelihood of having LTBI was 1.56 times higher than among non-health care workers. People with LTBI had a 1.36-fold higher risk of developing COVID-19 than those without LTBI.
Conclusion. The prevalence of LTBI among employees of anti-tuberculosis institutions depends on professional activity. The presence of M. tuberculosis infection increases the risk of COVID-19.
Literature
1. Обновленное сводное руководство по программному ведению случаев латентной туберкулезной инфекции. Женева: ВОЗ, 2018. 70 с. [Latent tuberculosis infection: updated and consolidated guidelines for programmatic management]. Geneva: WHO, 2018. 70 с. (In Russ.). 2. Литвинов В. И. Что такое латентная туберкулезная инфекция: взгляд на проблему. Туберкулез и социально-значимые заболевания 2017; (2): 6–8. Litvinov V.I. [What is latent tuberculosis infection: a look at the problem]. Tuberculosis and socially significant diseases 2017; 2:6–8. (In Russ.). 3. Богородская Е.М., Слогоцкая Л.В., Белиловский Е.М., Рощупкина О.М. Латентная туберкулезная инфекция в группах риска у взрослого населения города Москвы, 2012–2016 гг. Туберкулез и социально значимые заболевания 2017; (2): 10–5. Bogorоdskaya E.M., Slogotskaya L.V., Beliovsky E.M., Rostchupkina O.M. [Latent tuberculosis infection in the adult risk groups in Moscow city, 2012–2016]. Tuberculosis and socially significant diseases 2017; (2): 10–5. (In Russ.). 4. Лебедева И.Б., Осинцева И.Ю., Бондаренко Т.Е., Пьянзова Т.В., Брусина Е.Б. COVID-19 в популяции больных туберкулезом: эпидемиологическая и клиническая характеристика. Фундаментальная и клиническая медицина 2021; 6(3): 71–84. DOI: 10.23946/2500-0764-2021-6-3-71-84 Lebedeva I.B., Osintseva I.Yu., Bondarenko T.E., Pyanzova T.V., Brusina E.B. [COVID-19 in patients with tuberculosis: epidemiological and clinical features]. Fundamental and Clinical Medicine. 2021; 6(3): 71–84. (In Russ.). DOI: 10.23946/2500-0764-2021-6-3-71-84 5. Колпакова Л.В., Туктарова Л.М., Синицын М.В. Латентная туберкулезная инфекция среди сотрудников противотуберкулезных медицинских организаций города Москвы. Туберкулез и социально значимые заболевания. 2017; (2): 24–9. Kolpakova L.V., Tuktarova L.М., Sinitsyn M.V. [Latent tuberculosis infection among employees of speciaLized tuberculosis facilities in Moscow]. Tuberculosis and socially significant diseases 2017; (2): 24–9. (In Russ.). 6. Мохирева Л.В., Солдатенко А.В., Белиловский Е.М. Распространенность латентной туберкулезной инфекции среди взрослого населения из медицинских групп риска по туберкулезу, наблюдаемых в городских поликлиниках ЮЗАО города Москвы. Туберкулез и социально значимые заболевани. 2017; (2): 16–23. Mokhireva L.V., Soldatenko A.V., Belilovsky E.M.. [Latent tuberculosis infection in adults risk groups, followed up in out-patient clinics in the south-west administrative district of the Moscow city]. Tuberculosis and socially significant diseases 2017; (2): 16–23. (In Russ.). 7. Зорина М.М., Филимонов П.Н., Фелькер И.Г., Мальцев А.В. Оценка распространенности латентной туберкулезной инфекции у сотрудников противотуберкулезного учреждения. Туберкулез и болезни легких 2014; (5): 66–8. DOI: 10.21292/2075-1230-2014-0-5-66-68 Zorina M.M., Filimonov P.N., Felker I.G., Maltsev A.V. [Estimation of the spread of latent tuberculosis infection in tuberculosis facility employees]. Tuberculosis and Lung Diseases 2014; (5): 66–8. (In Russ.). DOI: 10.21292/2075-1230-2014-0-5-66-68 8. 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 Infect. Dis. 2017; 4(3): ofx137. DOI: 10.1093/ofid/ofx137
About the Autors
Elena L. Khristoforova, Epidemiologist, Head, Epidemiology Department, Moscow City Scientific and Practical Center for Tuberculosis Control, Department of Health of the Сity of Moscow, Moscow, Russia; KhristoforovaEL@zdrav.mos.ru; https://orcid.org/0009-0001-0690-7928
Professor Elena M. Bogorodskaya, МD, Chief External Expert in Phthisiology, Department of Health of the Сity of Moscow; Head, Department of Phthisiology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; BogorodskayaEM@zdrav.mos.ru; https://orcid.org/0000-0003-4552-5022
Professor Igor V. Nozdrevatykh, МD, Deputy Chief Physician for Sanitary and Epidemiological Issues, Moscow City Scientific and Practical Center for Tuberculosis Control, Department of Health of the Сity of Moscow; Chief Epidemiologist. Department of Health of the Сity of Moscow; Professor, Department of Hospital Epidemiology, Medical Parasitology and Tropical Diseases, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; NozdrevatykhIV@zdrav.mos.ru
Evgeniya A. Kotova, Cand. Med., Sci., Deputy Director for Scientific and Organizational-Methodological Work, Moscow City Scientific and Practical Center for Tuberculosis Control, Department of Health of the Сity of Moscow; Associate Professor, Department of Phthisiology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; KotovaEA2@zdrav.mos.ru; https://orcid.org/0000-0002-0959-7822
Similar Articles
