Determinants of tuberculosis infection control-related behaviors among healthcare workers in the country of Georgia
OBJECTIVE: To better understand tuberculosis (TB) infection control (IC) in healthcare facilities (HCFs) in Georgia.
DESIGN: A cross-sectional evaluation of healthcare worker (HCW) knowledge, beliefs and behaviors toward TB IC measures including latent TB infection (LTBI) screening and treatment of HCWs.
SETTING: Georgia, a high-burden multidrug-resistant TB (MDR-TB) country.
PARTICIPANTS: HCWs from the National TB Program and affiliated HCFs.
METHODS: An anonymous self-administered 55-question survey developed based on the Health Belief Model (HBM) conceptual framework.
RESULTS: In total, 240 HCWs (48% physicians; 39% nurses) completed the survey. The overall average TB knowledge score was 61%. Only 60% of HCWs reported frequent use of respirators when in contact with TB patients. Only 52% of HCWs were willing to undergo annual LTBI screening; 48% were willing to undergo LTBI treatment. In multivariate analysis, HCWs who worried about acquiring MDR-TB infection (adjusted odds ratio [aOR], 1.7; 95% confidence interval [CI], 1.28-2.25), who thought screening contacts of TB cases is important (aOR, 3.4; 95% CI, 1.35-8.65), and who were physicians (aOR, 1.7; 95% CI, 1.08-2.60) were more likely to accept annual LTBI screening. With regard to LTBI treatment, HCWs who worked in an outpatient TB facility (aOR, 0.3; 95% CI, 0.11-0.58) or perceived a high personal risk of TB reinfection (aOR, 0.5; 95% CI, 0.37-0.64) were less likely to accept LTBI treatment.
CONCLUSION: The concern about TB reinfection is a major barrier to HCW acceptance of LTBI treatment. TB IC measures must be strengthened in parallel with or prior to the introduction of LTBI screening and treatment of HCWs.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:36 |
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| Enthalten in: |
Infection control and hospital epidemiology - 36(2015), 5 vom: 04. Mai, Seite 522-8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mirtskhulava, Veriko [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 08.04.2016 Date Revised 13.11.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/ice.2015.5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM24591515X |
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| 245 | 1 | 0 | |a Determinants of tuberculosis infection control-related behaviors among healthcare workers in the country of Georgia |
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| 500 | |a Date Revised 13.11.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To better understand tuberculosis (TB) infection control (IC) in healthcare facilities (HCFs) in Georgia | ||
| 520 | |a DESIGN: A cross-sectional evaluation of healthcare worker (HCW) knowledge, beliefs and behaviors toward TB IC measures including latent TB infection (LTBI) screening and treatment of HCWs | ||
| 520 | |a SETTING: Georgia, a high-burden multidrug-resistant TB (MDR-TB) country | ||
| 520 | |a PARTICIPANTS: HCWs from the National TB Program and affiliated HCFs | ||
| 520 | |a METHODS: An anonymous self-administered 55-question survey developed based on the Health Belief Model (HBM) conceptual framework | ||
| 520 | |a RESULTS: In total, 240 HCWs (48% physicians; 39% nurses) completed the survey. The overall average TB knowledge score was 61%. Only 60% of HCWs reported frequent use of respirators when in contact with TB patients. Only 52% of HCWs were willing to undergo annual LTBI screening; 48% were willing to undergo LTBI treatment. In multivariate analysis, HCWs who worried about acquiring MDR-TB infection (adjusted odds ratio [aOR], 1.7; 95% confidence interval [CI], 1.28-2.25), who thought screening contacts of TB cases is important (aOR, 3.4; 95% CI, 1.35-8.65), and who were physicians (aOR, 1.7; 95% CI, 1.08-2.60) were more likely to accept annual LTBI screening. With regard to LTBI treatment, HCWs who worked in an outpatient TB facility (aOR, 0.3; 95% CI, 0.11-0.58) or perceived a high personal risk of TB reinfection (aOR, 0.5; 95% CI, 0.37-0.64) were less likely to accept LTBI treatment | ||
| 520 | |a CONCLUSION: The concern about TB reinfection is a major barrier to HCW acceptance of LTBI treatment. TB IC measures must be strengthened in parallel with or prior to the introduction of LTBI screening and treatment of HCWs | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Whitaker, Jennifer A |e verfasserin |4 aut | |
| 700 | 1 | |a Kipiani, Maia |e verfasserin |4 aut | |
| 700 | 1 | |a Harris, Drew A |e verfasserin |4 aut | |
| 700 | 1 | |a Tabagari, Nino |e verfasserin |4 aut | |
| 700 | 1 | |a Owen-Smith, Ashli A |e verfasserin |4 aut | |
| 700 | 1 | |a Kempker, Russell R |e verfasserin |4 aut | |
| 700 | 1 | |a Blumberg, Henry M |e verfasserin |4 aut | |
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