Difficulties in tuberculosis infection control in a general hospital of Vietnam: a knowledge, attitude, and practice survey and screening for latent tuberculosis infection among health professionals.
Adult
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Health Personnel
Hospitals, General
Humans
Infection Control
Infectious Disease Transmission, Patient-to-Professional
/ prevention & control
Latent Tuberculosis
/ diagnosis
Male
Mass Screening
Mycobacterium tuberculosis
/ immunology
Prevalence
Respiratory Protective Devices
Surveys and Questionnaires
Tuberculin Test
Vietnam
General hospital
KAP
Latent tuberculosis infection
N95 respirator
TB infection control
Tuberculin skin test
Tuberculosis
Journal
BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551
Informations de publication
Date de publication:
08 Nov 2019
08 Nov 2019
Historique:
received:
21
05
2019
accepted:
24
10
2019
entrez:
10
11
2019
pubmed:
11
11
2019
medline:
25
2
2020
Statut:
epublish
Résumé
In Vietnam, a country with a high tuberculosis (TB) burden, health professionals in both TB-specialized and non-TB-specialized general hospitals have a high risk of acquiring TB. The aims of the present study were to clarify the difficulties in TB infection control at non-TB specialized hospitals and whether any associated risks of latent TB infection exist among health professionals in Vietnam. We conducted a cross-sectional study in a national tertiary and general hospital of Hanoi, Vietnam. Participants were health professionals, including physicians, nurses, and other health professionals. We assessed difficulties in TB infection control by conducting a knowledge, attitude, and practice (KAP) survey. We also collected data on the results of tuberculin skin tests (TSTs) conducted during health check-ups for hospital staff to determine whether health professionals had latent TB infection or TB disease. KAP scores were compared among health professional groups (physicians vs. nurses vs. other health professionals). Factors influencing knowledge scores were evaluated using multiple regression analysis. A total 440 health professionals at the study site participated in the KAP survey, and we collected the results of TSTs from a total of 299 health professionals. We observed a high prevalence of latent TB infection (74.2%), especially among participants in the emergency department. Although participants had high KAP scores, some topics were less understood, such as symptoms and risks of TB, proper use of protective equipment such as N95 respirators, and preventing transmission by patients with confirmed or suspected TB. Factors influencing knowledge scores associated with TB were age, a belief that TB is the most important infectious disease, being a medical professional, having previously attended workshops or seminars, and knowing that Vietnam has a high burden of TB. In a non-TB specialized hospital of Vietnam, we observed a risk of TB infection among health professionals and difficulties in properly controlling TB infection. Early awareness regarding patients with suspected TB, to apply proper measures and prevent transmission, and education regarding obtaining updated knowledge through scientific information are crucial to enhancing TB infection control in general hospitals of Vietnam.
Sections du résumé
BACKGROUND
BACKGROUND
In Vietnam, a country with a high tuberculosis (TB) burden, health professionals in both TB-specialized and non-TB-specialized general hospitals have a high risk of acquiring TB. The aims of the present study were to clarify the difficulties in TB infection control at non-TB specialized hospitals and whether any associated risks of latent TB infection exist among health professionals in Vietnam.
METHODS
METHODS
We conducted a cross-sectional study in a national tertiary and general hospital of Hanoi, Vietnam. Participants were health professionals, including physicians, nurses, and other health professionals. We assessed difficulties in TB infection control by conducting a knowledge, attitude, and practice (KAP) survey. We also collected data on the results of tuberculin skin tests (TSTs) conducted during health check-ups for hospital staff to determine whether health professionals had latent TB infection or TB disease. KAP scores were compared among health professional groups (physicians vs. nurses vs. other health professionals). Factors influencing knowledge scores were evaluated using multiple regression analysis.
RESULTS
RESULTS
A total 440 health professionals at the study site participated in the KAP survey, and we collected the results of TSTs from a total of 299 health professionals. We observed a high prevalence of latent TB infection (74.2%), especially among participants in the emergency department. Although participants had high KAP scores, some topics were less understood, such as symptoms and risks of TB, proper use of protective equipment such as N95 respirators, and preventing transmission by patients with confirmed or suspected TB. Factors influencing knowledge scores associated with TB were age, a belief that TB is the most important infectious disease, being a medical professional, having previously attended workshops or seminars, and knowing that Vietnam has a high burden of TB.
CONCLUSION
CONCLUSIONS
In a non-TB specialized hospital of Vietnam, we observed a risk of TB infection among health professionals and difficulties in properly controlling TB infection. Early awareness regarding patients with suspected TB, to apply proper measures and prevent transmission, and education regarding obtaining updated knowledge through scientific information are crucial to enhancing TB infection control in general hospitals of Vietnam.
Identifiants
pubmed: 31703561
doi: 10.1186/s12879-019-4593-z
pii: 10.1186/s12879-019-4593-z
pmc: PMC6842132
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
951Subventions
Organisme : Pfizer Health Research Foundation in Japan
ID : International research grant
Références
N Engl J Med. 2018 Jan 18;378(3):221-229
pubmed: 29342390
MMWR Recomm Rep. 2000 Jun 9;49(RR-6):1-51
pubmed: 10881762
BMJ Open Respir Res. 2017 Jan 17;4(1):e000154
pubmed: 28123749
BMC Pulm Med. 2017 Jan 5;17(1):2
pubmed: 28056943
MMWR Recomm Rep. 2005 Dec 30;54(RR-17):1-141
pubmed: 16382216
Int J Mycobacteriol. 2017 Jul-Sep;6(3):253-257
pubmed: 28776523
Am J Infect Control. 2013 Jan;41(1):8-13
pubmed: 22475568
Ann Intern Med. 2010 Oct 19;153(8):516-22
pubmed: 20956708
PLoS One. 2017 Sep 21;12(9):e0184061
pubmed: 28934228
BMC Public Health. 2007 Jun 13;7:110
pubmed: 17567521
J Hosp Infect. 2011 Dec;79(4):333-8
pubmed: 21978608
J Infect. 2014 Dec;69(6):525-32
pubmed: 25135230
PLoS One. 2012;7(7):e40774
pubmed: 22848401
J Hosp Infect. 2018 Sep;100(1):92-98
pubmed: 29608938
J Public Health Policy. 2013 Aug;34(3):388-402
pubmed: 23719292
Int J Tuberc Lung Dis. 2005 Apr;9(4):403-8
pubmed: 15830745
Environ Health Prev Med. 2017 Oct 30;22(1):74
pubmed: 29165160
Lancet Infect Dis. 2015 May;15(5):544-51
pubmed: 25765217
Educ Health (Abingdon). 2011 Aug;24(2):514
pubmed: 22081655