Tuberculosis among correctional facility workers: A systematic review and meta- analysis

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dc.contributor.authorGrenzel, Micheli Luize
dc.contributor.authorGrande, Antonio José
dc.contributor.authorPaniago, Anamaria Mello Miranda
dc.contributor.authorPompilio, Mauricio Antonio
dc.contributor.authorOliveira, Sandra Maria do Valle Leone de
dc.contributor.authorTrajman, Anete
dc.date.accessioned2024-12-13T16:54:19Z
dc.date.available2024-12-13T16:54:19Z
dc.date.issued2018
dc.description.abstractIntroduction Prison inmates can transmit tuberculosis, including drug-resistant strains, to correctional facility workers and the community. In this systematic literature review, we investigated the magnitude of active and latent tuberculosis infection (LTBI) and associated risk factors among correctional facility workers. Methods We searched MEDLINE, EMBASE, LILACS, Cochrane CENTRAL, ISI Web of Science, CINAHL, and SCOPUS databases (January 1, 1989–December 31, 2017) for studies with the MeSH terms “prison” (and similar) AND “tuberculosis”, without language restriction. We searched for gray literature in Google Scholar and conference proceedings. Stratified analy- ses according to tuberculosis burden were performed. Results Of the 974 titles identified, 15 (nine good, six fair quality) fulfilled the inclusion criteria (110,393 correctional facility workers; six countries; 82,668 active tuberculosis; 110,192 LTBI). Pooled LTBI prevalence and incidence rates were 26% (12–42, I 2 = 99.0%) and 2% (1–3, I 2 = 98.6%), respectively. LTBI prevalence reached 44% (12–79, I 2 = 99.0%) in high- burden countries. Active tuberculosis was reported only in low-burden countries (incidence range, 0.61–450/10,000 correctional facility workers/year). LTBI-associated risk factors included job duration, older age, country of birth, current tobacco smoking, reported contact with prisoners, and BCG vaccination. Conclusion Despite the risk of bias and high heterogeneity, LTBI was found to be prevalent in correc- tional facility workers, mainly in high-burden countries. LTBI risk factors suggest both occu- pational and community exposure. Active tuberculosis occurrence in low-burden countries suggests higher vulnerability from recent infection among correctional facility workers in these countries. Systematic surveillance and infection control measures are necessary to protect these highly vulnerable workers.
dc.identifier.citationGrenzel ML, Grande AJ, Paniago AMM, Pompilio MA, de Oliveira SMVL, Trajman A. Tuberculosis among correctional facility workers: A systematic review and meta-analysis. PLoS One. 2018 Nov 15;13(11):e0207400. doi: 10.1371/journal.pone.0207400.
dc.identifier.otherDOI: 10.1371/journal.pone.0207400
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/712
dc.language.isoen
dc.publisherPLOS ONE
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectatent Tuberculosis* / epidemiologyen
dc.subjectLatent Tuberculosis* / transmissionen
dc.subjectMaleen
dc.subjectOccupational Exposure / adverse effects*en
dc.subjectPrevalenceen
dc.subjectPrisons*en
dc.subjectRisk Factorsen
dc.subjectTuberculosis, Multidrug-Resistant* / epidemiologyen
dc.subjectTuberculosis, Multidrug-Resistant* / transmission.en
dc.titleTuberculosis among correctional facility workers: A systematic review and meta- analysis
dc.typeArticle
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