{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:10Z","timestamp":1787019430809,"version":"build-2736575974"},"reference-count":28,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T00:00:00Z","timestamp":1591315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Workplace Health Saf"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Background: Most studies that have evaluated the impact of infection-control measures (ICM) reported a decrease in latent tuberculosis (TB) and not in TB. The objective of this study was to evaluate the impact of ICM on TB incidence among Health Care Workers (HCW\u2019s). Methods: We conducted a retrospective record review study in a general, tertiary care, university-affiliated hospital. All TB case reports among HCWs in the hospital from 2005 to 2018 were reviewed. The TB incidence was measured before and after 2012 to evaluate the impact of ICM implemented. Findings: In total, there were 53 TB cases. The number of TB cases before and after the implementation of ICM was 42 (incidence: 100.0 cases\/100,000 HCWs\/year) and 11 (incidence: 26.2 cases\/100,000 HCWs\/year), respectively ( p &lt; .0001). Conclusions\/Application to Practice: TB incidence among HCWs reduced significantly after the implementation of ICM. The establishment of ICM, such as written TB infection control plan, monitoring, screening, training, and education, can reduce TB incidence.<\/jats:p>","DOI":"10.1177\/2165079920919133","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T18:08:40Z","timestamp":1591380520000},"page":"519-525","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Tuberculosis in Health Care Workers and the Impact of Implementation of Hospital Infection-Control Measures"],"prefix":"10.1177","volume":"68","author":[{"given":"Ana Cl\u00e1udia Vasconcellos","family":"Azeredo","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sizuane Rieger","family":"Holler","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellis Gabriela Correa","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ot\u00e1vio Augusto Gon\u00e7alves Dias","family":"Cionek","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelle Martinez","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana Ambos","family":"Freitas","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Anton","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Dominguez","family":"Machado","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Fernandes Dantas","family":"Filho","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0230-2734","authenticated-orcid":false,"given":"Denise Rossato","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,5]]},"reference":[{"key":"bibr1-2165079920919133","doi-asserted-by":"crossref","unstructured":"Baussano I., Nunn P., Williams B., Pivetta E., Bugiani M., Scano F. (2011). Tuberculosis among health care workers. Emerging Infectious Diseases, 17(3), 488\u2013494. https:\/\/doi.org\/10.3201\/EID1703.100947","DOI":"10.3201\/eid1703.100947"},{"key":"bibr2-2165079920919133","doi-asserted-by":"crossref","unstructured":"Bock N. N., Jensen P. A., Miller B., Nardell E. (2007). Tuberculosis infection control in resource-limited settings in the era of expanding HIV care and treatment. The Journal of Infectious Diseases, 196(Suppl. 1), S108\u2013S113. https:\/\/doi.org\/10.1086\/518661","DOI":"10.1086\/518661"},{"key":"bibr3-2165079920919133","doi-asserted-by":"crossref","unstructured":"Claassens M. M., Van Schalkwyk C., Du Toit E., Roest E., Lombard C. J., Enarson D. A., Beyers N., Borgdorff M. W. (2013). Tuberculosis in healthcare workers and infection control measures at primary healthcare facilities in South Africa. 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Surgical face masks worn by patients with multidrug-resistant tuberculosis: Impact on infectivity of air on a hospital ward. American Journal of Respiratory and Critical Care Medicine, 185(10), 1104\u20131109. https:\/\/doi.org\/10.1164\/rccm.201107-1190OC","DOI":"10.1164\/rccm.201107-1190OC"},{"key":"bibr6-2165079920919133","doi-asserted-by":"crossref","unstructured":"Du J., Pang Y., Ma Y., Mi F., Liu Y., Li L. (2017). Prevalence of tuberculosis among health care workers in tuberculosis specialized hospitals in China. Journal of Occupational Health, 59(3), 292\u2013295. https:\/\/doi.org\/10.1539\/joh.16-0251-BR","DOI":"10.1539\/joh.16-0251-BR"},{"key":"bibr7-2165079920919133","unstructured":"Gerberding J. L., Snider D. E., Popovic T., Solomon S. L., Bernhardt J. M., Parker M. S., Hewitt S. M., Mcgee P., Holland B. J., Cupell L. G., Lapete M. A., Doan Q. M., Shaver E. R. (2005). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings. 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