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Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review

Background: Tuberculosis is a major cause of morbidity and mortality as an estimated 8.6 million people developed TB and 1.3 million died from the disease in 2012. The number of deaths is high given that TB can be prevented. Health care workers are an at - risk group, since they are frequently in c...

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Main Author: Schmidt, Bey-Marrie
Other Authors: Ehrlich, Rodney
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2016
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access_status_str Open Access
author Schmidt, Bey-Marrie
author2 Ehrlich, Rodney
author_browse Ehrlich, Rodney
Schmidt, Bey-Marrie
author_facet Ehrlich, Rodney
Schmidt, Bey-Marrie
author_sort Schmidt, Bey-Marrie
collection Thesis
description Background: Tuberculosis is a major cause of morbidity and mortality as an estimated 8.6 million people developed TB and 1.3 million died from the disease in 2012. The number of deaths is high given that TB can be prevented. Health care workers are an at - risk group, since they are frequently in contact with infectious patients and/or work with infectious products. The World Health Organisation has declared the importance of finding innovative tools and strategies to prevent TB and implementing them successfully, especially for those with a high risk of TB transmission. Methods: This systematic review aims to undertake a quantitative review of tuberculosis interventions for health care workers in health care settings, so as to assess whether these interventions are effective in reducing the transmission of tuberculosis infection and disease. We will preferably include experimental studies, such as, randomised - controlled trials, but observational studies, such as controlled before and after studies and cohort studies will also be included in the absence of randomised - controlled studies. We will search databases, such as Medline, Scopus, Trip, LILACS and various trial registries. A hand search of reference lists of identified articles, abstracts, conference proceedings and campaign materials will be performed. Grey literature sites will also be used for the search. Data will be extracted using a single form. The quality of each study will be assessed in terms of selection bias, performance bias, attrition bias and detection bias. Thereafter a meta - analysis will be produced and subgroups will be analysed according to the three intervention types. Clinical and statistical significance will be determined for the included studies, and descriptive narratives of heterogeneous studies will be written. Discussion: Our results will be useful to policy - makers and public health officials for the prioritisation of those interventions identified as effective and critical .
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
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publisher Department of Public Health and Family Medicine
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spelling oai:open.uct.ac.za:11427/19906 Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review Schmidt, Bey-Marrie Ehrlich, Rodney Engel, Mark E Public Health Background: Tuberculosis is a major cause of morbidity and mortality as an estimated 8.6 million people developed TB and 1.3 million died from the disease in 2012. The number of deaths is high given that TB can be prevented. Health care workers are an at - risk group, since they are frequently in contact with infectious patients and/or work with infectious products. The World Health Organisation has declared the importance of finding innovative tools and strategies to prevent TB and implementing them successfully, especially for those with a high risk of TB transmission. Methods: This systematic review aims to undertake a quantitative review of tuberculosis interventions for health care workers in health care settings, so as to assess whether these interventions are effective in reducing the transmission of tuberculosis infection and disease. We will preferably include experimental studies, such as, randomised - controlled trials, but observational studies, such as controlled before and after studies and cohort studies will also be included in the absence of randomised - controlled studies. We will search databases, such as Medline, Scopus, Trip, LILACS and various trial registries. A hand search of reference lists of identified articles, abstracts, conference proceedings and campaign materials will be performed. Grey literature sites will also be used for the search. Data will be extracted using a single form. The quality of each study will be assessed in terms of selection bias, performance bias, attrition bias and detection bias. Thereafter a meta - analysis will be produced and subgroups will be analysed according to the three intervention types. Clinical and statistical significance will be determined for the included studies, and descriptive narratives of heterogeneous studies will be written. Discussion: Our results will be useful to policy - makers and public health officials for the prioritisation of those interventions identified as effective and critical . 2016-06-02T08:48:56Z 2016-06-02T08:48:56Z 2015 Master Thesis Masters MPH http://hdl.handle.net/11427/19906 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Public Health
Schmidt, Bey-Marrie
Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
thesis_degree_str Master's
title Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
title_full Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
title_fullStr Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
title_full_unstemmed Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
title_short Tuberculosis interventions to prevent transmission of infection in health care workers: a systematic review
title_sort tuberculosis interventions to prevent transmission of infection in health care workers a systematic review
topic Public Health
url http://hdl.handle.net/11427/19906
work_keys_str_mv AT schmidtbeymarrie tuberculosisinterventionstopreventtransmissionofinfectioninhealthcareworkersasystematicreview