The epidemiology of tuberculosis in health care workers in South Africa: a systematic review

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dc.contributor.authorGrobler, Liesl
dc.contributor.authorMehtar, Shaheen
dc.contributor.authorSabur, Natasha F
dc.contributor.authorAdams, Shahieda
dc.contributor.authorBabatunde, Sanni
dc.contributor.authorvan der Walt, Martie
dc.contributor.authorOsman, Muhammad
dc.date.accessioned2021-10-08T06:20:24Z
dc.date.available2021-10-08T06:20:24Z
dc.date.issued2016
dc.description.abstractAbstract Background In South Africa, workplace acquired tuberculosis (TB) is a significant occupational problem among health care workers. In order to manage the problem effectively it is important to know the burden of TB in health care workers. This systematic review describes the epidemiology of TB in South African health care workers. Methods A comprehensive search of electronic databases [MEDLINE, EMBASE, Web of Science (Social Sciences Citation Index/Science Citation Index), Cochrane Library (including CENTRAL register of Controlled Trials), CINAHL and WHO International Clinical Trials Registry Platform (ICTRP)] was conducted up to April 2015 for studies reporting on any aspect of TB epidemiology in health care workers in South Africa. Results Of the 16 studies included in the review, ten studies reported on incidence of active TB disease in health care workers, two report on the prevalence of active TB disease, two report on the incidence of latent TB infection, three report on the prevalence of latent TB infection and four studies report on the number of TB cases in health care workers in various health care facilities in South Africa. Five studies provide information on risk factors for TB in health care workers. All of the included studies were conducted in publicly funded health care facilities; predominately located in KwaZulu-Natal and Western Cape provinces. The majority of the studies reflect a higher incidence and prevalence of active TB disease in health care workers, including drug-resistant TB, compared to the surrounding community or general population. Conclusions There is relatively little research on the epidemiology of TB in health care workers in South Africa, 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, but future research is required to investigate the optimal approach to TB screening in health care workers in South Africa. The evidence base shows a high burden of both active and latent TB in health care workers in South Africa necessitating an urgent need to improve existing TB infection, prevention and control measures in South African health care facilities.
dc.identifier.apacitationGrobler, L., Mehtar, S., Sabur, N. F., Adams, S., Babatunde, S., van der Walt, M., & Osman, M. (2016). The epidemiology of tuberculosis in health care workers in South Africa: a systematic review. <i>BMC Health Services Research</i>, 16(1), 174 - 177. http://hdl.handle.net/11427/34268en_ZA
dc.identifier.chicagocitationGrobler, Liesl, Shaheen Mehtar, Natasha F Sabur, Shahieda Adams, Sanni Babatunde, Martie van der Walt, and Muhammad Osman "The epidemiology of tuberculosis in health care workers in South Africa: a systematic review." <i>BMC Health Services Research</i> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34268en_ZA
dc.identifier.citationGrobler, L., Mehtar, S., Sabur, N.F., Adams, S., Babatunde, S., van der Walt, M. & Osman, M. 2016. The epidemiology of tuberculosis in health care workers in South Africa: a systematic review. <i>BMC Health Services Research.</i> 16(1):174 - 177. http://hdl.handle.net/11427/34268en_ZA
dc.identifier.issn1472-6963
dc.identifier.ris TY - Journal Article AU - Grobler, Liesl AU - Mehtar, Shaheen AU - Sabur, Natasha F AU - Adams, Shahieda AU - Babatunde, Sanni AU - van der Walt, Martie AU - Osman, Muhammad AB - Abstract Background In South Africa, workplace acquired tuberculosis (TB) is a significant occupational problem among health care workers. In order to manage the problem effectively it is important to know the burden of TB in health care workers. This systematic review describes the epidemiology of TB in South African health care workers. Methods A comprehensive search of electronic databases [MEDLINE, EMBASE, Web of Science (Social Sciences Citation Index/Science Citation Index), Cochrane Library (including CENTRAL register of Controlled Trials), CINAHL and WHO International Clinical Trials Registry Platform (ICTRP)] was conducted up to April 2015 for studies reporting on any aspect of TB epidemiology in health care workers in South Africa. Results Of the 16 studies included in the review, ten studies reported on incidence of active TB disease in health care workers, two report on the prevalence of active TB disease, two report on the incidence of latent TB infection, three report on the prevalence of latent TB infection and four studies report on the number of TB cases in health care workers in various health care facilities in South Africa. Five studies provide information on risk factors for TB in health care workers. All of the included studies were conducted in publicly funded health care facilities; predominately located in KwaZulu-Natal and Western Cape provinces. The majority of the studies reflect a higher incidence and prevalence of active TB disease in health care workers, including drug-resistant TB, compared to the surrounding community or general population. Conclusions There is relatively little research on the epidemiology of TB in health care workers in South Africa, 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, but future research is required to investigate the optimal approach to TB screening in health care workers in South Africa. The evidence base shows a high burden of both active and latent TB in health care workers in South Africa necessitating an urgent need to improve existing TB infection, prevention and control measures in South African health care facilities. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Health Services Research LK - https://open.uct.ac.za PY - 2016 SM - 1472-6963 T1 - The epidemiology of tuberculosis in health care workers in South Africa: a systematic review TI - The epidemiology of tuberculosis in health care workers in South Africa: a systematic review UR - http://hdl.handle.net/11427/34268 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34268
dc.identifier.vancouvercitationGrobler L, Mehtar S, Sabur NF, Adams S, Babatunde S, van der Walt M, et al. The epidemiology of tuberculosis in health care workers in South Africa: a systematic review. BMC Health Services Research. 2016;16(1):174 - 177. http://hdl.handle.net/11427/34268.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Health Services Research
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12913-016-1601-5
dc.subject.otherHealth care workers
dc.subject.otherHealth personnel
dc.subject.otherSub-Saharan Africa
dc.subject.otherTuberculosis
dc.subject.otherAdult
dc.subject.otherAge Distribution
dc.subject.otherAged
dc.subject.otherCoinfection
dc.subject.otherEmployment
dc.subject.otherHIV Infections
dc.subject.otherHealth Facilities
dc.subject.otherHealth Personnel
dc.subject.otherHumans
dc.subject.otherIncidence
dc.subject.otherLatent Tuberculosis
dc.subject.otherMass Screening
dc.subject.otherMiddle Aged
dc.subject.otherOccupational Diseases
dc.titleThe epidemiology of tuberculosis in health care workers in South Africa: a systematic review
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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