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  3. Vol. 10 No. 3 (2022): Summer 2022
  4. Review Article

ISSN: 2345-3346

Summer 2022
Vol. 10 No. 3 (2022)

A systematic review and meta-analysis of Latent tuberculosis infection in Health care workers in Iran Latent tuberculosis infection in HCWs

  • Fahimeh Firoozeh
  • Arezoo Firoozeh
  • Farzaneh Firoozeh
  • Abbas Salmani

Novelty in Biomedicine, Vol. 10 No. 3 (2022), , Page 192-198
https://doi.org/10.22037/nbm.v10i3.37526 Published 17 August 2022

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Abstract

Background: Health care workers (HCWs) are more likely to get latent tuberculosis infection (LTBI) because of
the direct contact they may have with patients and carriers. Therefore, this study aimed to assess the prevalence
of LTBI in HCWs.
Materials and Methods: In the present study, we searched from 1st 2010 to the end of 2021 in various databases
such as; PubMed, Scopus, Web of sciences, and Google Scholar for studies presented LTBI in HCWS. After
applying inclusion and exclusion criteria and quality assessment, obtained data were analyzed by Comprehensive
Meta-analysis (CMV) software.
Results: In total, 22 studies met the eligibility criteria to include in the present systematic review and metaanalysis. The combined prevalence of LTBI was reported by 25.9% (95% CI: 19.3-33.7). No publication bias
was seen among studies included based on Eger’s regression test (p=0.04).
Conclusion: Our study showed a high prevalence of LTBI in HCWs. Therefore, periodical screening of HCWs
with Suitable tests is essential to prevent this high prevalence. According to the results of this systematic
review and meta-analysis, the rate of LTBI in Iranian HCWs is high. Therefore, periodical screening and
diagnostic tests such as TST are necessary for the timely diagnosis and treatment of these individuals to prevent changing LTBI to an active form of tuberculosis.

Keywords:
  • Health care worker, Latent tuberculosis infection, Patient
  • pdf

How to Cite

Firoozeh, F., Firoozeh, A., Firoozeh, F., & Salmani, A. (2022). A systematic review and meta-analysis of Latent tuberculosis infection in Health care workers in Iran: Latent tuberculosis infection in HCWs. Novelty in Biomedicine, 10(3), 192-198. https://doi.org/10.22037/nbm.v10i3.37526
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References

Heidarnezhad F, Asnaashari A, Rezaee SA, Ghezelsofla R,

Ghazvini K, Valizadeh N, et al. Evaluation of Interleukin17and

Interleukin 23 expression in patients with active and latent tuberculosis

infection. Iranian journal of basic medical sciences. 2016;19(8):844.

Safdari H, Sadeghi A, Ghazvini K, Mohammadi S, Derakhshan M.

Prevalence of Mycobacterium tuberculosis in the samples referred to

the tuberculosis research laboratory in Mashhad Ghaem Hospital

during 2005-2006. Iranian Journal of Microbiology. 2009;1(3):20-2.

Sterling TR, Njie G, Zenner D, Cohn DL, Reves R, Ahmed A, et al.

Guidelines for the treatment of latent tuberculosis infection:

recommendations from the National Tuberculosis Controllers

Association and CDC, 2020. Wiley Online Library; 2020. p. 1196-206.

Reid MJ, Arinaminpathy N, Bloom A, Bloom BR, Boehme C,

Chaisson R, et al. Building a tuberculosis-free world: The Lancet

Commission on tuberculosis. The Lancet. 2019;393(10178):1331-84.

Mirzayev F, Viney K, Linh NN, Gonzalez-Angulo L, Gegia M,

Jaramillo E, et al. World Health Organization recommendations on the treatment of drug-resistant tuberculosis, 2020 update. European

Respiratory Journal. 2021;57(6).

Organization WH. WHO consolidated guidelines on drugresistant tuberculosis treatment: World Health Organization; 2019.

Dijkman K, Sombroek CC, Vervenne RA, Hofman SO, Boot C,

Remarque EJ, et al. Prevention of tuberculosis infection and disease

by local BCG in repeatedly exposed rhesus macaques. Nature

medicine. 2019;25(2):255-62.

Organization WH. Global tuberculosis report 2013: World Health

Organization; 2013.

Sharma SK, Mohan A, Kohli M. Extrapulmonary tuberculosis.

Expert Review of Respiratory Medicine. 2021(just-accepted).

Organization WH. WHO operational handbook on tuberculosis:

module 3: diagnosis: rapid diagnostics for tuberculosis detection.

Christopher DJ, Daley P, Armstrong L, James P, Gupta R,

Premkumar B, et al. Tuberculosis infection among young nursing

trainees in South India. PLoS One. 2010;5(4):e10408.

Conradie F, Diacon AH, Ngubane N, Howell P, Everitt D, Crook

AM, et al. Treatment of highly drug-resistant pulmonary

tuberculosis. New England Journal of Medicine. 2020;382(10):893-

Oh CE, Ortiz-Brizuela E, Bastos ML, Menzies D. Comparing the

diagnostic performance of QuantiFERON-TB gold plus to other tests

of latent tuberculosis infection: a systematic review and metaanalysis. Clinical Infectious Diseases. 2021;73(5):e1116-e25.

Apriani L, McAllister S, Sharples K, Alisjahbana B, Ruslami R,

Hill PC, et al. Latent tuberculosis infection in healthcare workers in

low-and middle-income countries: an updated systematic review.

European Respiratory Journal. 2019;53(4).

Marx FM, Hauer B, Menzies NA, Haas W, Perumal N. Targeting

screening and treatment for latent tuberculosis infection towards

asylum seekers from high-incidence countries–a model-based costeffectiveness analysis. BMC public health. 2021;21(1):1-16.

Harding E. WHO global progress report on tuberculosis

elimination. The Lancet Respiratory Medicine. 2020;8(1):19.

Deutsch-Feldman M, Pratt RH, Price SF, Tsang CA, Self JL.

Tuberculosis—United States, 2020. Morbidity and Mortality Weekly

Report. 2021;70(12):409.

Korbel DS, Schneider BE, Schaible UE. Innate immunity in

tuberculosis: myths and truth. Microbes and Infection.

;10(9):995-1004.

North RJ, Jung Y-J. Immunity to tuberculosis. Annu Rev

Immunol. 2004;22:599-623.

Yanai H, Limpakarnjanarat K, Uthaivoravit W, Mastro T D,

Mori T, Tappero J W. Risk of Mycobacterium tuberculosis infection

and disease among health care workers, Chiang Rai, Thailand. The

International Journal of Tuberculosis and Lung Disease.

;7(1):36-45.

Kassim S, Zuber P, Wiktor S, Diomande F, Coulibaly I,

Coulibaly D, et al. Tuberculin skin testing to assess the occupational

risk of Mycobacterium tuberculosis infection among health care

workers in Abidjan, Cote d'Ivoire. The International Journal of

Tuberculosis and Lung Disease. 2000;4(4):321-6.

Janagond AB, Ganesan V, Kumar GV, Ramesh A, Anand P,

Mariappan M. Screening of health-care workers for latent

tuberculosis infection in a Tertiary Care Hospital. International

journal of mycobacteriology. 2017;6(3):253.

Garber E, San Gabriel P, Lambert L, Saiman L. A survey of latent

tuberculosis infection among laboratory healthcare workers in New

York City. Infection Control & Hospital Epidemiology.

;24(11):801-6.

Joshi R, Reingold AL, Menzies D, Pai M. Tuberculosis among

health-care workers in low-and middle-income countries: a systematic

review. PLoS medicine. 2006;3(12):e494.

Yeon JH, Seong H, Hur H, Park Y, Kim YA, Park YS, et al.

Prevalence and risk factors of latent tuberculosis among Korean

healthcare workers using whole-blood interferon-γ release assay.

Scientific reports. 2018;8(1):1-5.

Erawati M, Andriany M. The prevalence and demographic risk

factors for latent tuberculosis infection (LTBI) among healthcare

workers in Semarang, Indonesia. Journal of multidisciplinary

healthcare. 2020;13:197.

Sanghavi DM, Gilman RH, Lescano-Guevara AG, Checkley W,

Cabrera LZ, Cardenas V. Hyperendemic pulmonary tuberculosis in a

Peruvian shantytown. American Journal of Epidemiology.

;148(4):384-9.

Brock I, Weldingh K, Lillebaek T, Follmann F, Andersen P.

Comparison of tuberculin skin test and new specific blood test in

tuberculosis contacts. American journal of respiratory and critical care

medicine. 2004;170(1):65-9.

Zhou G, Luo Q, Luo S, Teng Z, Ji Z, Yang J, et al. Interferon-γ

release assays or tuberculin skin test for detection and management of

latent tuberculosis infection: a systematic review and meta-analysis.

The Lancet Infectious Diseases. 2020;20(12):1457-69.

Kang YA, Lee HW, Yoon HI, Cho B, Han SK, Shim Y-S, et al.

Discrepancy between the tuberculin skin test and the whole-blood

interferon γ assay for the diagnosis of latent tuberculosis infection in

an intermediate tuberculosis-burden country. Jama.

;293(22):2756-61.

Mori T, Sakatani M, Yamagishi F, Takashima T, Kawabe Y,

Nagao K, et al. Specific detection of tuberculosis infection: an

interferon-γ–based assay using new antigens. American journal of

respiratory and critical care medicine. 2004;170(1):59-64.

Poorolajal J, Cheraghi Z, Irani AD, Rezaeian S. Quality of cohort

studies reporting post the Strengthening the Reporting of

Observational Studies in Epidemiology (STROBE) statement.

Epidemiology and health. 2011;33.

Mansury D, Ghavidel M, Ghazvini K. Latent tuberculosis

infection in health care workers. Tehran University Medical Journal

TUMS Publications. 2018;75(10):708-14.

Getahun H, Matteelli A, Abubakar I, Aziz MA, Baddeley A,

Barreira D, et al. Management of latent Mycobacterium tuberculosis

infection: WHO guidelines for low tuberculosis burden countries.

European Respiratory Journal. 2015;46(6):1563-76.

Schablon A, Harling M, Diel R, Nienhaus A. Risk of latent TB

infection in individuals employed in the healthcare sector in Germany:

a multicentre prevalence study. BMC infectious diseases.

;10(1):1-10.

Velayati A, Farnia P, Masjedi M, Ibrahim T, Tabarsi P, Haroun R,

et al. Totally drug-resistant tuberculosis strains: evidence of adaptation

at the cellular level. European Respiratory Journal. 2009;34(5):1202-

Peters C, Kozak A, Nienhaus A, Schablon A. Risk of Occupational Latent Tuberculosis Infection among Health Personnel Measured by

Interferon-Gamma Release Assays in Low Incidence Countries—A

Systematic Review and Meta-Analysis. International journal of

environmental research and public health. 2020;17(2):581.

Nasehi M, Hashemi-Shahraki A, Doosti-Irani A, Sharafi S,

Mostafavi E. Prevalence of latent tuberculosis infection among

tuberculosis laboratory workers in Iran. Epidemiology and Health.

;39.

Mumpe-Mwanja D, Verver S, Yeka A, Etwom A, Waako J,

Ssengooba W, et al. Prevalence and risk factors of latent Tuberculosis

among adolescents in rural Eastern Uganda. African health sciences.

;15(3):851-60.

Nasreen S, Shokoohi M, Malvankar-Mehta MS. Prevalence of

latent tuberculosis among health care workers in high burden

countries: a systematic review and meta-analysis. PloS one.

;11(10):e0164034.

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