Abstract
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.
Reference16 articles.
1. 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.
2. 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.
3. 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.
4. Sharma SK, Mohan A, Sharma A, et al. Challenges in the diagnosis & treatment of miliary tuberculosis. Indian J Med Res 2017;135:703-30.
5. Pai M, Kalantri S, Aggarwal AN, et al. Nosocomial tuberculosis in India. Emerging Infect Dis 2006;12:1311-8.