Risk Factors Associated with Pulmonary Tuberculosis among Health Care Workers of Mayo Hospital, Lahore, Pakistan

Authors

  • Arooj Ahsan Department of Zoology, Govt.Post-Graduate Islamia College (W) Cooper Road, Lahore54000, Pakistan.
  • IQBAL The School of Life Sciences, Fujian Agriculture and Forestry University, Fuzhou 350002, China; Pakistan Science Mission (PSM), Narowal (Noor Kot 51770), Pakistan.
  • Asfa Ashraf The School of Life Sciences, Fujian Normal University, Fuzhou 350117, China; Pakistan Science Mission (PSM), Narowal (Noor Kot 51770), Pakistan; Association of Applied BioMedical Sciences (AABMS), Narowal (51770), Pakistan.
  • Fakhar-un-Nisa Yunus Department of Zoology, Lahore College for Women University, Lahore, 54000, Pakistan.
  • Mirza Imran Shahzad University College of Veterinary and Animal Sciences, The Islamia University of Bahawalpur, Bahawalpur 63100, Pakistan.
  • Mehwish Saleem Department of Zoology, Govt.Post-Graduate Islamia College (W) Cooper Road, Lahore54000, Pakistan.

Keywords:

Tuberculosis, risk factors, transmission of pulmonary tuberculosis, health care facilities.

Abstract

Tuberculosis (TB) is an occupational hazard for health care workers (HCWs) who are at greater risk of developing TB than the general population. This retrospective study was conducted to investigate the risk factors for active TB and determine the co-morbid conditions related to pulmonary TB among health care workers of Mayo Hospital, Lahore, Pakistan. During the study period, a total of 26(52%) patients were found to have active pulmonary tuberculosis out of 50 cases meeting diagnostic criteria of TB. The most common risk factors for TB were smoking (64%) followed by illicit drug use (56%), use of public transport (52%), intravenous drug abuse (42%), and alcoholism (28%). All these risk factors were found to be significant in the transmission of pulmonary tuberculosis (p < 0.05). Cough (88%) and chest pain (68%) remained the most pre-dominant pulmonary symptoms while haemoptysis (26%) was least in patients. Tuberculosis is seen increasingly in patients with medical conditions like silicosis (72%) followed by intestinal infections (68%), diabetes mellitus (48%), immunosuppressive therapy (26%), cancer (8%), and HIV (4%) patients in co-morbid condition. There is relatively little research on the risk factors of TB in health care workers in Pakistan, despite the importance of the issue. To determine the true extent of the TB epidemic in health care workers, regular screening for TB disease should be conducted on all health care workers in all health care facilities. Medical and public health workers should strengthen health education for TB prevention and treatment and promote smoking cessation. These findings further support the need for improved infection control measures not only in TB or drug-resistant TB wards or areas perceived to be at high-risk but also throughout hospitals to protect HCWs.

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Published

2020-09-30

How to Cite

Ahsan, A., Iqbal, M. N., Ashraf, A., Yunus, F.- un-N., Shahzad, M. I. ., & Saleem, M. (2020). Risk Factors Associated with Pulmonary Tuberculosis among Health Care Workers of Mayo Hospital, Lahore, Pakistan. PSM Microbiology, 5(3), 79–88. Retrieved from https://journals.psmpublishers.org/index.php/microbiol/article/view/481

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