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HITEC Medical & Dental Journal (HMDJ) Submit Manuscript
AWARENESS OF THE MANTOUX TUBERCULIN SKIN TEST AMONG HEALTHCARE WORKERS

Authors

Tahira Tehseen
Associate Professor
Saba Anwar
Senior Lecturer
Lubna Ghazal
Associate Professor
Aniqa Shoukat
Senior Lecturer
Fareena Asim
Assistant professor
Tariq Masood Malik
Professor of Pathology, Wah Medical College, Wah Cantt

Abstract

Background:The bacterium Mycobacterium tuberculosis (MTB) causes the infectious disease tuberculosis(TB). Mantoux tuberculin skin test (MTST) dates back to the 19th century, and remains widely used as the primary test for TB screening and diagnosis; however, its interpretation continues to be challenging.
ObjectivesTo determine the knowledge level of the Healthcare Workers (HCWs) about MTST and the knowledge difference among different groups of HCWs.
Study Design: Cross-sectional study.
Place and duration of Study: Pakistan Ordinance Factory (POF) Hospital, Wah Cantt, 03 months (January to April 2024).
Methodology: This study involved 200 HCWs comprising medical officers and nurses. The data on knowledge, interpretation, and application of MTST from participants were gathered using a self-administered questionnaire. The understanding level of different groups was determined with the chi-square test.
Results: Healthcare workers had scarce knowledge about MTST, its interpretation, and application. Out of 200 participants, 24(12%) had awareness about MTST, total procedural awareness was seen in 24(12%), while 28(14%) exhibited total interpretation awareness.
Conclusion: The knowledge and interpretation level of HCWs regarding MTST was inadequate. Concrete steps must be taken to enhance its awareness. Regular awareness sessions should be scheduled for healthcare workers to update their knowledge in this area.
Keywords: Awareness, Healthcare workers, Mantoux Tuberculin Skin Test, Tuberculosis screening.

How to cite this article

Tehseen T, Anwar S, Ghazal L, Shoukat A, Asim F, Malik TM. Awareness of the Mantoux Tuberculin Skin Test among Healthcare Workers. HMDJ. 2025 June; 05(01): 10-14.
DOI: https://doi.org/10.69884/hmdj.5.1.0294

References

  1. Natarajan A, Anushka V, Devnikar, Mali S. A systemic review on tuberculosis. Indian J Tuberc. 2020;67(3):295–311. doi: https://doi.org/10.1016/j.ijtb.2020.02.005.
  2. World Health Organization. Global tuberculosis report 2023 [Internet]. Geneva: World Health Organization; 2023 [cited 2024 Jul 10]. Available from: https://iris.who.int/bitstream/handle/10665/373828/9789240083851-eng.pdf?sequence=1.
  3. World Health Organization. Implementing integrated NTD interventions at primary health care level: operational guidance [Internet]. Geneva: World Health Organization; 2023 [cited 2024 Jul 10]. Available from: https://www.who.int/publications/i/item/9789240065093.
  4. Goodenough U. Tuberculosis in Contacts and Healthcare Workers. In Springer eBooks; 2023. p. 657–68. doi: https://doi.org/10.1007/978-3031-15955-8_30.
  5. Al Jahdhami I. Latent tuberculosis in healthcare workers: time to act. Oman Medical Journal. 2013 Mar 1;28(2):146–8. doi: https://doi.org/10.5001/OMJ.2013.39.
  6. Leo S, Rajaram M, Mohanty Mohapatra M, Chinnakali P, Joseph NM, Vemuri MB. Active Case Finding for Tuberculosis among Health Care Workers in a Teaching Hospital, Puducherry, India. Indian Journal of Industrial Medicine. 2023 Jan 1;27(1):42–8. doi: https://doi.org/10.4103/ijoem.ijoem_342_21.
  7. Hussan KTK, Bashir A, Ashraf MAB. Evaluation of diagnostic assays for tuberculosis (TB) and formulation of a feasible testing strategy for rural areas of Pakistan. International Journal of Applied and Experimental Biology. 2024 Jan 2; doi: https://doi.org/10.56612/ijaaeb.v1i1.67.
  8. Faujdar SS, Singh U, Kumar S, Mehrishi P, Sharma A, Dutta A. Mantoux test defaulters in rural population attending tertiary care hospital in a tuberculosis endemic area. Journal of family medicine and primary care. 2022 Feb 1;11(2):677–9. doi: https://doi.org/10.4103/jfmpc.jfmpc_1355_21.
  9. Guo XH, Du W, Li J, Dong J, Shen X, Su C, et al. A comparative study on the mechanism of delayed-type hypersensitivity mediated by the recombinant Mycobacterium tuberculosis fusion protein ESAT6-CFP10 and purified protein derivative. Int J Mol Sci. 2023;24(23):16612. doi: https://doi.org/10.3390/ijms242316612.
  10. Yayan J, Franke K, Berger M, Windisch W, Rasche K. Early detection of tuberculosis: a systematic review. BMC Infect Dis. 2024 Jul 5;16:11. doi: https://doi.org/10.1186/s41479-024-00133-z.
  11. Abdala B, Ringer AG, Ruffino JP, Martinez F, Argento MC, Chulibert S, et al. Ab1358 an old method for current challenges: skin test conversion of purified protein derivative (ppd) in rheumatological patients treated with anti-tnf-α. Annals of the Rheumatic Diseases. 2022 May 23;81(Suppl1):1785.1-1785. doi: https://doi.org/10.1136/annrheumdis-2022-eular.3371.
  12. Duthie MS, Reed SG. Skin tests for the detection of Mycobacterial infections: achievements, current perspectives, and implications for other diseases. Appl Microbiol Biotechnol. 2021 Jan;105(2):503-508. doi: https://doi.org/10.1007/s00253-020-11062-4.
  13. Youngui BT, Tchounga BK, Graham SM, Bonnet M. Tuberculosis infection in children and adolescents. Pathogens. 2022;11(12):1512. doi: https://doi.org/10.3390/pathogens11121512.
  14. Thanassi W, Behrman A, Reves R, Russi M, Swift M, Warkentin JV, et al. Tuberculosis Screening, Testing, and Treatment of US Health Care Personnel: ACOEM and NTCA Joint Task Force on Implementation of the 2019 MMWR Recommendations. Journal of Occupational and Environmental Medicine. 2020 Jul 1;62(7). doi: https://doi.org/10.1097/JOM.0000000000001904.
  15. Caruso E, Mangan JM, Maiuri A, Bouwkamp BA, DeLuca N. Tuberculosis testing and latent tuberculosis infection treatment practices among health care providers — United States, 2020–2022. MMWR Morb Mortal Wkly Rep. 2020 Nov 3;72:1183–9. doi: https://doi.org/10.15585/mmwr.mm7244a2.
  16. Abuawad M, Ziyadeh-Isleem A, Mahamid A, Quzmar S, Ammar E, Shawahna R. Knowledge, perception, and attitudes of medical students towards antimicrobial resistance and stewardship: an observational crosssectional study from Palestine. BMC Medical Education. 2024 Mar 18;24. doi:https://doi.org/10.1186/s12909-024-05276-7.
  17. Chauhan A, Parmar M, Dash GC, Solanki H, Chauhan S, Sahoo KC, et al. Prevalence of Tuberculosis Infection among Various Risk Groups in India: A Systematic Review and Meta-Analysis. Indian Journal of Community Medicine. 2024 Jul 3. doi: https://doi.org/10.4103/ijcm.ijcm_36_24.
  18. Dukmak ON, Tos SM, Alawi RFF, et al. Knowledge, experiences, and attitude towards tuberculosis disease among clinical and pre-clinical medical students in the West Bank, Palestine: a cross-sectional study. 2023 Apr 11. doi: https://doi.org/10.21203/rs.3.rs-2729874/v1.

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