Incidence of tuberculosis in medical workers of Sumy region for the last decade

Objective — to investigate the trend of tuberculosis incidence of medical workers of Sumy region during the period of reforming medical institutions of anti­tuberculosis type during 2010—2019.Materials and methods. A total of 87 medical workers fell ill with tuberculosis in Sumy region. Among the sick 15 (17.2 %) people are employees of anti­tuberculosis institutions, and 72 (82.8 %) are employees of the general medical network.Results and discussion. A total of 6,149 patients with newly diagnosed tuberculosis have been registered in the region over the years. 1.4 % of them (87 patients) are medical workers. That is, two out of 100 patients with tuberculosis are medical workers. Among all patients with tuberculosis, only 0.2 % (15 people) are employees of anti­tuberculosis institutions, and 1.2 % (72 people) are employees of the general treatment network. The incidence of TB staff was 15.5 per 10,000 employees, and the incidence of general treatment was 3.6. The disease mainly affects women due to the gender composition of health workers. The average number of nurses is more frequent (53.3 % in anti­tuberculosis institutions and 47.2 % in the general treatment network) and paramedics (20.0 and 27.8 %, respectively). With age, the risk of developing tuberculosis decreases, as the most common patients are under the age of 40.Conclusions. The share of employees of the general treatment network is 4.8 times higher than the number of employees of anti­tuberculosis institutions with tuberculosis, which is especially important during the reform of the tuberculosis service, when the main functions of treating tuberculosis patients are transferred to general practitioners — family medicine. General treatment network workers have more common and extrapulmonary forms of tuberculosis, which may indicate a lack of vigilance of general treatment network staff, formal attitude to preventive medical examinations and lack of awareness of infection control in tuberculosis against the background of increasing time with TB patients.