Rastreio de tuberculose nos funcionários de um Hospital Distrital

ABSTRACTBACKGROUND: After two cases of Pulmonary Tuberculosis were found in healthcare workers of a Regional Hospital in Portugal a study was done to determine the incidence of Tuberculosis in health-workers of the Oliveira de Azeméis Hospital in 1996.METHODS: An information-note was affixed in all Services asking all the workers to do the Tuberculin-test. An intradermic injection of 2 U. of PPD (RT 23), by one trained nurse was done in 202 of 241 health-workers that joined the study.In all workers that reported respiratory symptoms, a thoracic radiograph, sputum bacteriologic analyses with Ziehl-Neelsen coloration and culture in Lowenstein- Jensen were done.RESULTS: 11 cases of Tuberculosis-infection has been reported by the tuberculin tests. 9 of them were treated with triple therapy during two months. 6 cases of Pulmonary Tuberculosis confirmed by the presence of AAR bacilus in sputum and a positive culture in Lowenstein-Jensen were found.CONCLUSIONS: In this study, we concluded that the incidence of Pulmonary Tuberculosis in healt-heare workers of the Oliveira de Azemeis Hospital in 1996 was 2,54%, that corresponds to the triple of the incidence in the general population of the area at the same time.REV PORT PNEUMOL 1998; IV (2): 147-15