Why healthcare workers are sick of TB.

von Delft, A; Dramowski, A; Khosa, C; Kotze, K; Lederer, P; Mosidi, T; Peters, JA; Smith, J; van der Westhuizen, HM; von Delft, D; Willems, B; Bates, M; Craig, G; Maeurer, M; Marais, BJ; Mwaba, P; Nunes, EA; Nyirenda, T; Oliver, M; Zumla, A; (2014) Why healthcare workers are sick of TB. International journal of infectious diseases, 32. pp. 147-51. ISSN 1201-9712 DOI: https://doi.org/10.1016/j.ijid.2014.12.003

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Dr Thato Mosidi never expected to be diagnosed with tuberculosis (TB), despite widely prevalent exposure and very limited infection control measures. The life-threatening diagnosis of primary extensively drug-resistant TB (XDR-TB) came as an even greater shock. The inconvenient truth is that, rather than being protected, Dr Mosidi and thousands of her healthcare colleagues are at an increased risk of TB and especially drug-resistant TB. In this viewpoint paper we debunk the widely held false belief that healthcare workers are somehow immune to TB disease (TB-proof) and explore some of the key factors contributing to the pervasive stigmatization and subsequent non-disclosure of occupational TB. Our front-line workers are some of the first to suffer the consequences of a progressively more resistant and fatal TB epidemic, and urgent interventions are needed to ensure the safety and continued availability of these precious healthcare resources. These include the rapid development and scale-up of improved diagnostic and treatment options, strengthened infection control measures, and focused interventions to tackle stigma and discrimination in all its forms. We call our colleagues to action to protect themselves and those they care for.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 25809771
Web of Science ID: 352401500025
URI: http://researchonline.lshtm.ac.uk/id/eprint/2228427


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