title: [OCCUPATIONAL PREVALENCE OF MYCOBACTERIUM TUBERCULOSIS INFECTION AMONG HEALTHCARE WORKERS].
abstract: Professional prevalence of tuberculosis of workers of health care is the important medico-social problem.
  
  
  METHODS
  The study is based on the observation of the epidemic process of tuberculosis in the Omsk region for 2000-2014. Material for the study was the data of the forms of Federal statistical observation. There were used observational descriptive and evaluative research methods of the study.
  
  
  RESULTS
  In the Omsk region on the background of the downtrend of tuberculosis incidence there were observed qualitative changes in the nature of bacterioexcretion, characterized by the widespread occurrence of multidrug-resistant Mycobacterium. Over the study period 154 cases of occupational diseases in workers of medical institutions were registered Tuberculosis accounted for 80.5% of cases; at that 77.4% are employees of phthisiatric institutions, out of them nursing staff--48.3%, medical attendants--20.2%, doctors--18.5%, employees of the bacteriological laboratory--6.4%, workers of other support units--6.4%. Among diseased patients 41.1% were persons with the experience of working in harmful conditions from 1 to 5 years, 20%--experience of 5-10 years, 8.8%--working experience of 10 to 15 years, 29%--more than 15 years. In patients there was prevailed tuberculosis of respiratory organs--85.4% of cases, extrapulmonary forms of tuberculosis (tuberculosis of the genitourinary system, peripheral lymph nodes, eyes, central nervous system) accounted for 14.6%. About 30% of cases of tuberculosis among health care workers were accompanied by bacterioexcretion.
  
  
  CONCLUSIONS
  In conditions of the wide spread of drug-resistant Mycobacterium tuberculosis it is necessary to optimize the approaches to the prevention of tuberculosis among health care workers.
authors: O A
authors: OA
authors: Pasechnik
authors: O V
authors: OV
authors: Plotnikova
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000382:microbiology; D016273:Occupational Exposure / Q000009:adverse effects*; D015995:Prevalence; D012189:Retrospective Studies; D012800:Siberia / Q000453:epidemiology; D014376:Tuberculosis / Q000453:epidemiology* / Q000382:microbiology; D055815:Young Adult