Ty -jour t1-低收入和中等收入国家的医疗保健工人的潜在结核病感染:更新的系统评价JF -Europen呼吸杂志JO -EUR RESSIR J DO -10.1183/13993003.01789-2018 VL -53Au -Apriani,Lika au -McAllister,Susan au -Sharples,Katrina au -Alisjahbana,Bachti au -Ruslami,Ruslami,Rovina au -Hill,Philip C. Au -Menzies,Dick Y1- Y1- 2019/04/04/04/01 UR -HTTP://www.qdcxjkg.com/content/53/4/1801789.Abstract N2-医疗保健工人(HCWS)的潜伏性结核病风险增加(TB)感染(LTBI)和TB病。低收入和中等收入国家(LMIC),相关因素和感染控制实践的HCW中LTBI的发病率。我们搜索了Medline,Embase和Web of Science(2005年1月1日至2017年6月20日),以发表任何语言。我们使用随机效应方法获得了合并的估计,并使用元回归研究了异质性。85研究(32 630受试者)来自26个LMIC。阳性结核蛋白皮肤测试(TST)的患病率为14-98%(平均49%);阳性干扰素释放分析(IGRA)的患病率为9-86%(平均39%)。TB发病率≥300的国家 / 000的患病率最高(TST:汇总估计值为55%,95%CI 41-69%; IGRA:汇总估计值为56%,95%CI 39-73%)。TST估计的年度发病率为1-38%(平均17%); annual incidence estimated from the IGRA was 10–30% (mean 18%). The prevalence and incidence of a positive test was associated with years of work, work location, TB contact and job category. Only 15 studies reported on infection control measures in healthcare facilities, with limited implementation.HCWs in LMICs in high TB incidence settings remain at increased risk of acquiring LTBI. There is an urgent need for robust implementation of infection control measures.Healthcare workers in low- and middle-income countries remain at increased risk of latent tuberculosis infection http://ow.ly/M4e730nvI6h ER -