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首页> 外文期刊>Asia-Pacific journal of public health >Tuberculosis Incidence and Factors Associated With Mortality Among Health Care Workers in Malaysia
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Tuberculosis Incidence and Factors Associated With Mortality Among Health Care Workers in Malaysia

机译：结核病发病率和马来西亚医疗工作者死亡率相关的因素

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摘要

This study aims to determine tuberculosis incidence, all-cause mortality, and its associated factors among health care workers (HCWs) registered in 2012 to 2014 with the Malaysian National Tuberculosis (MyTB) Surveillance Registry. Regression analysis was used to determine factors associated with all-cause mortality. Incidence rates ranged from 135.18 to 156.50/100 000 and were higher for HCWs compared with the general population (risk ratio = 1.70-1.96). The mean age at notification was 34.6 +/- 10.55 years; 68.9% were female. Most were paramedics (44.3%) followed by other HCWs (41.9%) and doctors (13.8%). Nearly a quarter (23.8%) had extrapulmonary tuberculosis. There were 23 deaths giving a case fatality rate of 2.4%. Factors associated with death were older age (odds ratio [OR] =1.05; confidence interval [CI] =1.01-1.10), diabetes (OR = 3.83; CI = 1.32-11.08), HIV positivity (OR = 18.16; CI = 4.60-71.68), and not receiving directly observed therapy (DOTS) (OR = 10.97; CI = 3.61-33.38). It is important for HCWs to be aware of these increased risks and for authorities to implement protective measures.
机译：本研究旨在确定2012年至2014年卫生保健工人（HCWS）的结核病发生率，全因死亡率及其相关因素与马来西亚国家结核病（MYTB）监督登记处。回归分析用于确定与全导致死亡率相关的因素。与一般人群（风险比率= 1.70-1.96）相比，发病率范围为135.18至156.50 / 100 000，并且HCW较高。通知的平均年龄为34.6 +/- 10.55岁; 68.9％是女性。大多数是护理人员（44.3％），其次是其他HCW（41.9％）和医生（13.8％）。近四分之一（23.8％）具有外肺结核。有23人死亡，给人死亡率为2.4％。与死亡相关的因素是年龄较大的（差距[或] = 1.05;置信区间[CI] = 1.01-1.10），糖尿病（或= 3.83; CI = 1.32-11.08），HIV阳性（或= 18.16; CI = 4.60 -71.68），并且没有接收直接观察治疗（点）（或= 10.97; CI = 3.61-33.38）。对于HCW来说，必须了解这些增加的风险和当局来实施保护措施。

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