Профессиональная заболеваемость туберкулезом медицинских работников Омской области

Professional prevalence of tuberculosis of workers of health care is the important medico-social problem. Materials and methods. The study is based on the observation of the epidemic process of tuberculosis in the Omsk region for 2000 2014. Materialfor the study was the data of the forms of Federal statistical observation. There were used observational descriptive and evaluative research methods of the study. Results. In the Omsk region on the background of the downtrend of tuberculosis incidence there were observed qualitative changes in the nature of bacterioexcretion, characterized by the widespread occurrence of multidrug-resistant Mycobacterium Over the study period 154 cases of occupational diseases in workers of medical institutions were registered. Tuberculosis accounted for 80,5% of cases, at that 77,4% are employees of phthisiatric institutions, out of them nursing staff 48,3%, medical attendants 20,2%, doctors 18,5%, employees of the bacteriological laboratory 6,4%, workers of other support units 6,4%. Among diseased patients 41.1% were persons with the experience of working in harmful conditions from 1 to 5 years, 20% experience of 5-10 years, 8,8% working experience of 10 to 15 years, 29% more than 15 years. In patients there was prevailed tuberculosis of respiratory organs 85,4% of cases, extrapulmonary forms of tuberculosis (tuberculosis of the genitourinary system, peripheral lymph nodes, eyes, central nervous system) accounted for 14,6 %. About 30% of cases of tuberculosis among health care workers were accompanied by bacterioexcretion. Conclusions. In conditions of the wide spread of drug-resistant Mycobacterium tuberculosis it is necessary to optimize the approaches to the prevention of tuberculosis among health care workers.