https://doi.org/10.4081/monaldi.2024.3075

Prevalence of tuberculosis among healthcare workers in India: a systematic review and meta-analysis

Early Access
Submitted: June 5, 2024
Accepted: July 16, 2024
Published: August 30, 2024
Healthcare workers, tuberculosis, active TB
Abstract Views: 269
PDF_EARLY VIEW: 113
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Authors

Ravindra Nath
https://orcid.org/0000-0001-5082-935X
Department of Community Medicine, TMMC & RC, Teerthanker Mahaveer University, Moradabad, India.
Nitin Panwar
https://orcid.org/0009-0003-5375-8552
Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Aninda Debnath
anindadebnath@gmail.com
https://orcid.org/0000-0002-2117-4195
Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Anirban Bhaumik
https://orcid.org/0009-0003-9975-5015
Department of Medicine, Dr. Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India.
Jugal Kishore
https://orcid.org/0000-0001-6246-5880
Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Pranav Ish
https://orcid.org/0000-0003-1701-4970
Department of Pulmonary and Critical Care Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Tuberculosis (TB) poses a significant occupational hazard for healthcare workers (HCWs) in India, a country bearing a substantial portion of the global TB burden. This systematic review and meta-analysis aim to determine the prevalence of TB among HCWs in India. Analyzing ten studies up to 2024, we found a pooled prevalence of 2391.6 cases per 100,000 individuals, underscoring the critical occupational risk. Factors contributing to this high prevalence include inadequate ventilation, insufficient personal protective equipment, and frequent exposure to multidrug-resistant TB strains. Our findings emphasize the urgent need for stringent infection control measures, routine TB screening, and comprehensive educational programs. Policy recommendations include developing national TB screening guidelines and improving healthcare infrastructure. Protecting HCWs is crucial to achieving India's goal of TB elimination by 2025.

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Scopus
Google Scholar
Europe PMC
Central TB Division, Ministry of Health & Family Welfare, Government of India. India TB report 2023. Available from: https://tbcindia.mohfw.gov.in/wp-content/uploads/2023/06/5646719104TB_AR_2023_04-04-2023_LRP_final.pdf.
Basu S, Andrews JR, Poolman EM, et al. Prevention of nosocomial transmission of extensively drug-resistant tuberculosis in rural South African district hospitals: an epidemiological modelling study. Lancet 2009;370:1500-7. DOI: https://doi.org/10.1016/S0140-6736(07)61636-5
Joshi R, Reingold AL, Menzies D, et al. Tuberculosis among health-care workers in low- and middle-income countries: a systematic review. PLoS Med 2006;3: e494. DOI: https://doi.org/10.1371/journal.pmed.0030494
Sharma SK, Mohan A, Sharma A, et al. Challenges in the diagnosis & treatment of miliary tuberculosis. Indian J Med Res 2017;135:703-30.
Pai M, Kalantri S, Aggarwal AN, et al. Nosocomial tuberculosis in India. Emerging Infect Dis 2006;12:1311-8. DOI: https://doi.org/10.3201/eid1209.051663
Uplekar M, Weil D, Lönnroth K, et al. WHO's new end TB strategy. Lancet 2015;385:1799-801. DOI: https://doi.org/10.1016/S0140-6736(15)60570-0
Gopinath KG, Siddique S, Kirubakaran H, et al. Tuberculosis among healthcare workers in a tertiary-care hospital in South India. J Hosp Infect 2004;57:339-42. DOI: https://doi.org/10.1016/j.jhin.2004.03.029
Rao VG, Aggarwal AN, Behera D. Tuberculosis among physicians in training: more than the education. Int J Tuberc Lung Dis 2004;8:1392-4.
Mathew A, David T, Thomas K, et al. Risk factors for tuberculosis among health care workers in South India: a nested case-control study. J Clin Epidemiol 2013;66:67-74. DOI: https://doi.org/10.1016/j.jclinepi.2011.12.010
Khayyam KU, Patra S, Sarin R, Behera D. Tuberculosis among health care workers in a tertiary care institute for respiratory diseases in New Delhi. Indian J Tuberc 2010;57:192-8.
Rao SA, Kadhiravan T, Swaminathan RP, et al. Occupational exposure and tuberculosis among medical residents in a high-burden setting: an open-cohort study. Int J Tuberc Lung Dis 2016;20:1162-7. DOI: https://doi.org/10.5588/ijtld.15.0638
Basavaraj A, Chandanwale A, Patil A, et al. Tuberculosis risk among medical trainees, Pune, India. Emerg Infect Dis 2016;22:541-3. DOI: https://doi.org/10.3201/eid2203.151673
Pardeshi GS, Kadam D, Chandanwale A, et al. TB risk perceptions among medical residents at a tertiary care center in India. Tuberc Res Treat 2017;2017:7514817. DOI: https://doi.org/10.1155/2017/7514817
Sharma S, Singh D, Katheria A. Tuberculosis among medicine residents – a neglected/alarming fact. JIACM 2017;18:257-9
Leo S, Rajaram M, Mohapatra MM, et al. Active case finding for tuberculosis among health care workers in a teaching hospital, Puducherry, India. Indian J Occup Environ Med 2023;27:42-8. DOI: https://doi.org/10.4103/ijoem.ijoem_342_21
Ahmad P, Arora VK. Prevalance of tuberculosis amongst healthcare workers, working in DOTS/sputum microscopy centre in two different districts of state of Uttarakhand & Uttar Pradesh of India. Indian J Tuberc 2023;70:405-8. DOI: https://doi.org/10.1016/j.ijtb.2023.03.011

How to Cite

Nath, Ravindra, Nitin Panwar, Aninda Debnath, Anirban Bhaumik, Jugal Kishore, and Pranav Ish. 2024. “Prevalence of Tuberculosis Among Healthcare Workers in India: A Systematic Review and Meta-Analysis”. Monaldi Archives for Chest Disease, August. https://doi.org/10.4081/monaldi.2024.3075.
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