Tuberculosis in healthcare workers of Ukraine

<b>Objective:</b> Analysis of the tuberculosis situation among healthcare workers (HCWs)&nbsp;in the Vinnitsa region of Ukraine. <b>Materials and methods:</b> Analysis of data from the electronic register of patients (e-TB manager system) for 2007–2020, followed by standard statistical data processing. During the study period, 270 cases of TB were detected among employees of all medical institutions in Vinnytsia region, of which 176 (62.2%) cases were directly related to HCWs (94 cases of TB were diagnosed among personnel serving medical institutions).&nbsp;Over the 14-year period of the study, the average incidence rate of TB in medical personnel was 48.5 per 100 thousand, and among the population of Vinnitsa region - 57.7 per 100 thousand, which indicates that work in medicine is a serious factor risk of developing TB, especially among HCWs caring for patients with TB. In the structure of cases of occupational TB, newly diagnosed forms of the disease prevailed (81.8%) over its relapses (18.2%). Pulmonary forms of TB in&nbsp;HCWs prevailed (85.8%) over extrapulmonary (14.2%). In a significant part of HCWs, TB was diagnosed late, as evidenced by the high frequency of detection of destructive (47%) forms of the disease in them, often (57%) accompanied by bacterial excretion. Unfortunately, multidrug-resistant forms of the disease were also diagnosed. Thus, among all cases of TB, they were detected in 9.6% of&nbsp;HCWs (an average of 4.9 per 100,000), while among the population this figure was 16.3 per 100,000 people. <b>Conclusions:</b> The data obtained indicate an unfavorable situation with TB among HCWs, which requires urgent measures for its timely detection, prevention and treatment.