53 research outputs found
Screening for Tuberculosis in Health Care Workers. Experience in an Italian Teaching Hospital
Health care workers (HCW) are particularly at risk of acquiring tuberculosis (TB), even in countries with low TB incidence. Therefore, TB screening in HCW is a useful prevention strategy in countries with both low and high TB incidence. Tuberculin skin test (TST) is widely used although it suffers of low specificity; on the contrary, the in vitro enzyme immunoassay tests (IGRA) show superior specificity and sensitivity but are more expensive. The present study reports the results of a three-year TB surveillance among HCW in a large teaching hospital in Rome, using TST (by standard Mantoux technique) and IGRA (by QuantiFERON-TB) as first- and second-level screening tests, respectively. Out of 2290 HCW enrolled, 141 (6.1%) had a positive TST; among them, 99 (70.2%) underwent the IGRA and 16 tested positive (16.1%). The frequency of HCW tested positive for TB seems not far from other experiences in low incidence countries. Our results confirm the higher specificity of IGRA, but, due to its higher cost, TST can be considered a good first level screening test, whose positive results should be further confirmed by IGRA before the patients undergo X-ray diagnosis and/or chemotherapy
La documentazione iconografica magnetica per i servizi di medicina forense: studio preliminare
RIFLESSIONI MEDICO-SOCIALI SULLA TERZA ETA: PORTATORI DI BISOGNI O RISORSA PER LA SOCIETA'
La patologia psichiatrica nelle visite di idoneità lavorativa. Contributo casistico”. Actes des IX Journèes Internationales Mediterranèennes de Mèdicine Lègale. Isola di Capo Rizzato, 1990 pag 774-777.
Il radon quale sorgente di rischio per gli ambienti di lavoro:strumenti di valutazione e di intervento nel comprensorio dei Castelli romani
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