596 Chest x-ray screening for pre-employed healthcare workers in a private hospital, thailand

    loading  Checking for direct PDF access through Ovid


BackgroundThailand is classified by WHO as one of the 22 countries in the world with the highest TB burden. With a population of nearly 67 million, Thailand has about 93 000 new cases each year and an overall estimated TB prevalence of nearly 1 30 000 cases. There are many health reports that healthcare workers have many infection exposures not only from Tuberculosis but also have other respiratory infections too.MethodsA cross-sectional survey was conducted during 2013–2016 among the healthcare workers. Data was collected through pre-employment examination from 1637 staffs (240 male and 1397 female) inclusive of clinical and non-clinical departments.ResultsThere were 35 cases (2.13%) of healthcare workers reported abnormal result in chest X-ray (figure 1). The comparison between the lung abnormalities (1.4%) and other abnormalities (0.73%) was done. There were 65.8% had lung abnormalities, 28.5% had bone abnormalities and 5.7% had mild cardiomegaly. There were 8 cases (34.7%) of lung abnormalities had diagnosed with lung tuberculosis. There were 3 active tuberculosis cases (8.5%) had to receive treatment prior to employment, and none of them had Multidrug-resistant TB (MDR TB). There were 4 cases (11.4%) diagnosed with old tuberculosis and only one case (2.8%) was NTM (Nontuberculous mycobacteria).There were 43.4% of lung abnormalities had small pulmonary nodule, 8.7% had fibrosis, 4.3% had cystic-like lesion. There were 8 cases (80%) of bone abnormalities had diagnosed with mild scoliosis and did not typically expect to cause problems.ConclusionsThe pre-employment examination of healthcare workers is as important as any other occupations. The chest x-ray screening is cheap and relatively safe method. It might be helpful not only for their health but also useful to prevent patients from many communicable diseases.

    loading  Loading Related Articles