Detection of latent tuberculosis infection among laboratory personnel at a University Hospital in Eastern Saudi Arabia using an interferon gamma release assay.
OBJECTIVE
A few recent reports have demonstrated an elevated prevalence of latent tuberculosis infection (LTBI) among laboratory personnel. We sought to evaluate the prevalence of LTBI among laboratory personnel using the QuantiFERON-TB Gold In-Tube (QFT-GIT) assay and to assess the risk factors associated with positive test results.


METHODS
The study population included laboratory personnel who were working in the routine diagnostic laboratories of different departments of a university hospital. Subjects were interviewed using a standardized questionnaire that assessed information related to risk factors for LTBI and underwent the QFT-GIT assay.


RESULTS
Positive QFT-GIT tests results were detected in 19.4% (26/134) of the laboratory personnel. The following factors were significantly associated with positive QFT-GIT results: age≥30 years [odds ratio (OR): 4.741, 95% CI: 1.41-17.50, P=0.004]; duration of employment in the healthcare profession >10 years (P<0.0001); and non-Saudi nationality (OR: 21.67, 95% CI: 6.69-73.94, P<0.0001).


CONCLUSIONS
These data highlight the need for effective institutional TB infection control plans. Additionally, our data reinforce the necessities of pre-employment and regular LTBI screening of laboratory personnel and the importance of offering preventive therapies to positive subjects to prevent the progression to active disease.
Department of Microbiology, College of Medicine, Dammam University, Saudi Arabia; Department of Microbiology and Immunology, Faculty of Medicine, Alexandria University, Egypt. Electronic address: drmanal2000@yahoo.com.
Manal I
MI
Hassan
Department of Microbiology, College of Medicine, Dammam University, Saudi Arabia.
Asim E
AE
Diab
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D059425:Interferon-gamma Release Tests / Q000379:methods*; D059232:Laboratory Personnel; D055985:Latent Tuberculosis / Q000175:diagnosis* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D015995:Prevalence; D012307:Risk Factors; D012529:Saudi Arabia / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
Infection control; Interferon gamma release assay; Laboratory personnel; Latent tuberculosis infection; QuantiFERON-TB Gold In-Tube