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        Why healthcare workers are sick of TB

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        1_s2.0_S1201971214017202_main.pdf (PDF, 510Kb)
        Author
        von Delft, Arne
        Dramowski, Angela
        Khosa, Celso
        Kotze, Koot
        Lederer, Philip
        Mosidi, Thato
        Peters, Jurgens A
        Smith, Jonathan
        van der Westhuizen, Helene-Mari
        von Delft, Dalene
        Willems, Bart
        Bates, Matthew
        Craig, Gill
        Maeurer, Markus
        Marais, Ben J
        Mwaba, Peter
        Nunes, Elizabete A
        Nyirenda, Thomas
        Oliver, Matt
        Zumla, Alimuddin
        Attention
        2299/22345
        Abstract
        Dr Thato Mosidi never expected to be diagnosed with tuberculosis (TB), despite widely prevalent exposure and very limited infection control measures. The life-threatening diagnosis of primary extensively drug-resistant TB (XDR-TB) came as an even greater shock. The inconvenient truth is that, rather than being protected, Dr Mosidi and thousands of her healthcare colleagues are at an increased risk of TB and especially drug-resistant TB. In this viewpoint paper we debunk the widely held false belief that healthcare workers are somehow immune to TB disease (TB-proof) and explore some of the key factors contributing to the pervasive stigmatization and subsequent non-disclosure of occupational TB. Our front-line workers are some of the first to suffer the consequences of a progressively more resistant and fatal TB epidemic, and urgent interventions are needed to ensure the safety and continued availability of these precious healthcare resources. These include the rapid development and scale-up of improved diagnostic and treatment options, strengthened infection control measures, and focused interventions to tackle stigma and discrimination in all its forms. We call our colleagues to action to protect themselves and those they care for.
        Publication date
        2015-03-23
        Published in
        International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
        Published version
        https://doi.org/10.1016/j.ijid.2014.12.003
        Other links
        http://hdl.handle.net/2299/22345
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