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ppd healthcare workers

Reindolf Anokye, Enoch Acheampong, Amy Budu-Ainooson, Edmund Isaac Obeng, Adjei Gyimah Akwasi
Introduction: Postpartum depression is a mood disorder that affects approximately 10-15% of adult mothers yearly. This study sought to determine the prevalence of postpartum depression and interventions utilized for its management in a Health facility in Ghana. Methods: A descriptive cross-sectional study design using a quantitative approach was used for the study. The study population included mothers and healthcare workers. Simple random sampling technique was used to select 257 mothers, while a convenience sampling technique was used to select 56 health workers for the study...
2018: Annals of General Psychiatry
Jeffrey M Collins, Mary Hunter, Wanda Gordon, Russell R Kempker, Henry M Blumberg, Susan M Ray
Following large declines in tuberculosis transmission the United States, large-scale screening programs targeting low-risk healthcare workers are increasingly a source of false-positive results. We report a large cluster of presumed false-positive tuberculin skin test results in healthcare workers following a change to 50-dose vials of Tubersol tuberculin.Infect Control Hosp Epidemiol 2018;1-3.
April 2, 2018: Infection Control and Hospital Epidemiology
A Edet, S Turner
Background: The Mantoux method of tuberculin skin testing has been used in tuberculosis (TB) screening of healthcare workers (HCWs) in the UK National Health Service (NHS) for many years. More recently, there have been problems with the supply of the Mantoux test solution presenting a challenge to its continued use. Aims: To review results of Mantoux testing and determine factors associated with positive Mantoux result, i.e. tuberculin reactivity, in NHS HCWs, with a view to streamlining the TB screening process...
March 20, 2018: Occupational Medicine
Shauna C Usiak, Fabian A Romero, Patrice Schwegman, Violet Fitzpatrick, MaryAnn Connor, Janet Eagan, Arthur E Brown, Mini Kamboj
OBJECTIVE To describe the utilization of electronic medical data resources, including health records and nursing scheduling resources, to conduct a tuberculosis (TB) exposure investigation in a high-risk oncology unit. SETTING A 42-bed inpatient unit with a mix of surgical and medical patients at a large tertiary-care cancer center in New York City. PARTICIPANTS High-risk subjects and coworkers exposed to a healthcare worker (HCW) with cavitary smear positive lung TB. RESULTS During the 3-month exposure period, 270 patients were admitted to the unit; 137 of these (50...
August 10, 2017: Infection Control and Hospital Epidemiology
Jodie G Katon, Lacey Lewis, Selma Hercinovic, Amanda McNab, John Fortney, Susan M Rose
Purpose We describe results from a quality improvement project undertaken to address perinatal mental healthcare for women veterans. Description This quality improvement project was conducted in a single VA healthcare system between 2012 and 2015 and included screening for depressive symptoms with the Edinburgh Postnatal Depression Scale (EPDS) three times during the perinatal period, a dedicated maternity care coordinator (MCC), an on-site clinical social worker, and an on-site obstetrician/gynecologist (Ob/gyn)...
August 2017: Maternal and Child Health Journal
Alana Russo, Belinda Lewis, Andrew Joyce, Belinda Crockett, Stanley Luchters
BACKGROUND: The Afghan community is a priority population for many health and social services within the southeast region of Melbourne, which is home to the largest population of Afghanistan-born people within the state of Victoria. The majority of Afghan women arriving in Australia are of childbearing age, and evidence suggests that they are at increased risk of emotional challenges following birth as a result of the refugee and migration experience. This research aimed to explored the experiences of Afghan women living in Melbourne throughout pregnancy, birth, and early motherhood, and gain insight into the aspects of their experiences that they perceive as positively and negatively impacting their emotional wellbeing...
2015: BMC Pregnancy and Childbirth
Emily K Roberson, Eric L Hurwitz, Dongmei Li, Robert V Cooney, Alan R Katz, Abby C Collier
BACKGROUND: Depression and anxiety are common conditions among pregnant and postpartum women, but population-based information is lacking on treatments and help-seeking behaviors. PURPOSE: This study described the prevalence of depression, anxiety, pharmaceutical treatment, and help-seeking behaviors among a multiethnic population of women with recent live births in Hawaii. METHOD: Hawaii Pregnancy Risk Assessment Monitoring System data from 4735 respondents were weighted to be representative of all pregnancies resulting in live births in Hawaii in 2009-2011 and were used to estimate the prevalence of several indicators related to anxiety and depression before, during, and after pregnancy among women with recent live births...
August 2016: International Journal of Behavioral Medicine
Crick Lund, Marguerite Schneider, Thandi Davies, Memory Nyatsanza, Simone Honikman, Arvin Bhana, Judith Bass, Paul Bolton, Michael Dewey, John Joska, Ashraf Kagee, Landon Myer, Inge Petersen, Martin Prince, Dan J Stein, Graham Thornicroft, Mark Tomlinson, Atalay Alem, Ezra Susser
BACKGROUND: Maternal depression carries a major public health burden for mothers and their infants, yet there is a substantial treatment gap for this condition in low-resourced regions such as sub-Saharan Africa. To address this treatment gap, the strategy of "task sharing" has been proposed, involving the delivery of interventions by non-specialist health workers trained and supervised by specialists in routine healthcare delivery systems. Several psychological interventions have shown benefit in treating maternal depression, but few have been rigorously evaluated using a task sharing approach...
2014: Trials
Mohammad Taheri, Hamid Bazrafkan, Mojtaba Habibagahi
BACKGROUND: Classical screening methods are incapable to properly detect LTBI (Latent TB Infection) and HCWs (Healthcare Workers) are at the high risk of exposure. Only few reports estimated the prevalence of LTBI among Iranian HCWs and they mostly used the TST (Tuberculin Skin Test), rather than assessing the response against TB-specific antigens. OBJECTIVES: The current study aimed to determine the frequency of IFN - γ producing blood cells of microbiology and radiology ward technicians by an in-house IFN - γ ELISPOT assay in the University hospitals of Shiraz University of Medical Sciences (SUMS) against recombinant ESAT - 6 and PPD antigens...
June 2013: Iranian Red Crescent Medical Journal
Danielle Taubman, Nava Titler, Hana Edelstein, Mazen Elias, Walid Saliba
BACKGROUND: The compliance of screening for latent tuberculosis (TB) with the tuberculin purified protein derivative (PPD) test is very low among healthcare workers (HCWs) in Israel. METHODS: This randomized controlled study uses the Health Belief Model (HBM) as a conceptual framework to examine whether providing more information about latent TB and the PPD test increases the response rate for PPD screening among HCWs. All candidate HCWs for latent TB screening were randomly allocated to one of the following two invitations to perform the PPD test: regular letter (control group, n=97), and a letter with information about latent TB and the PPD test (intervention group, n=196)...
December 2013: Journal of Epidemiology and Global Health
Ciao-Lin Ho, Lu-I Chang, Kong-Sang Wan
BACKGROUND: Motherhood is a critical situation characterized by role conflicts. These conflicts between the roles of mother, worker, and wife are the norm in the postpartum period and may jeopardize a mother's well-being. The purpose of this study was to explore the relationships between postpartum adaptation and depression among new mothers who live in northern Taiwan. MATERIAL AND METHODS: A total of 186 first pregnancy mothers were recruited via convenience sampling methods and they completed mailed questionnaires between 1 week and 2 months after giving birth...
2013: International Journal of Psychiatry in Medicine
C Clancy, Y Bokhari, P M Neary, M Joyce
A 37-year-old male healthcare worker presented to the medical assessment unit complaining of a 3-month history of lethargy, weight loss, night sweats and intermittent abdominal discomfort. On examination there was some dullness to percussion at the right lung base and decreased breath sounds. He had mild generalised tenderness in his abdomen. Blood tests were normal. Chest x-ray and CT of the thorax showed small bilateral pleural effusions with no other abnormality. CT of the abdomen and pelvis however, showed ascites with extensive thickening of the peritoneum and marked induration of the mesentery and omentum...
June 19, 2013: BMJ Case Reports
Renaud Jardri, Michel Maron, Pierre Delion, Pierre Thomas
BACKGROUND: Postnatal depression (PND) is one of the most serious complications following delivery in developed countries today. Thus, early screening strategies by first-line healthcare workers are of primary importance. Pain following childbirth has been proposed as a possible risk-marker for later depressive disorder. We tested this assumption and explored the possible link between pain and overestimation of PND risk in routine clinical screenings. METHODS: We assessed 320 women between the third and fifth day after delivery as well as at 8 weeks post-partum (PP)...
December 2010: Journal of Psychosomatic Obstetrics and Gynaecology
Nira R Pollock, Suely S Kashino, Danielle R Napolitano, Alex Sloutsky, Swati Joshi, Jasmine Guillet, Michael Wong, Edward Nardell, Antonio Campos-Neto
To evaluate the utility of the QuantiFERON-TB Gold assay for monitoring latent tuberculosis treatment efficacy, the assay was performed serially for healthcare workers receiving isoniazid therapy. After 9 months of isoniazid therapy, all of these healthcare workers remained QuantiFERON-TB Gold positive, and cellular proliferation assays revealed persistently strong purified protein derivative responses. These results do not support the use of the QuantiFERON-TB Gold assay to monitor therapy.
April 2009: Infection Control and Hospital Epidemiology
Nira R Pollock, Antonio Campos-Neto, Suely Kashino, Danielle Napolitano, Samuel M Behar, Daniel Shin, Alex Sloutsky, Swati Joshi, Jasmine Guillet, Michael Wong, Edward Nardell
OBJECTIVE: In late 2006, our hospital implemented use of the QuantiFERON-TB Gold (QFT-G) assay, a whole-blood interferon-gamma release assay, for detection of tuberculosis infection. All newly hired healthcare workers (HCWs) with positive Mantoux tuberculin skin test (TST) results were routinely tested with the QFT-G assay, to take advantage of its higher specificity. We then undertook a quality assurance review to evaluate the QFT-G test results in HCWs with multiple risk factors for latent tuberculosis infection (LTBI)...
September 2008: Infection Control and Hospital Epidemiology
V Barsegian, K D Mathias, P Wrighton-Smith, H Grosse-Wilde, M Lindemann
Healthcare workers have an increased risk of tuberculosis infection compared with the general population. There have been few attempts to quantify the prevalence of latent tuberculosis infection amongst German healthcare workers, due to inadequacy of the current tuberculin skin test (TST). Therefore, it was our aim to investigate the prevalence of latent tuberculosis in this cohort using a tuberculosis-specific ELISpot (T-SPOT.TB) test and to compare the performance of this test to that of the TST. Ninety-five healthy participants working in departments of radiology were examined by ELISpot, lymphocyte transformation test and TST...
May 2008: Journal of Hospital Infection
Guo-jie Wang, Shi-wen Ma, Xin-an Zhen, Lan-tao Meng, Ji-ying Xu, Yan-qiu Zhang, Zhan-feng Liu, Dong-liang Li
OBJECTIVE: To study the situation of tuberculosis (TB) infection among the employees of the anti-TB institutions in Henan. METHODS: Cross-sectional study was adopted the employees working in all municipal-level- anti-TB institutions and 40 anti-TB institutions at county-level selected randomly from 109 counties of the province were regarded as surveyed objects. Tuberculin skin test (TST) was used to test the infection with PPD. RESULTS: 2153 employees accepting the TST and the positive rate was 60...
October 2007: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Guo Wei, Linda B Greaver, Stephen M Marson, Cynthia H Herndon, James Rogers
OBJECTIVES: This research investigated the differences and disparities of postpartum depression in a sample of African American, Hispanic, Native American, and White women. METHODS: A sample of 586 women were administered the Beck-Gable PDSS at 6-weeks postpartum. Factor analysis was applied to analyze the similarities among African American, Hispanic, Native American, and White participants. Confidence intervals of the rates of depression by group were estimated, followed by statistical tests to determine the differences among these rates...
November 2008: Maternal and Child Health Journal
L Teng, E Robertson Blackmore, D E Stewart
OBJECTIVE: We interviewed healthcare workers working in Toronto, Canada, regarding their experience of providing care to recent immigrant women suffering from postpartum depression. The objective was two-fold: 1) to identify potential barriers to care that recent immigrant women may encounter as perceived by healthcare workers; and 2) to identify challenges healthcare workers felt that they faced as providers of care to this population. METHODS: Qualitative semi-structured interviews were conducted with 16 key informants from various disciplines employed by healthcare agencies providing care to postpartum immigrant women in Toronto...
2007: Archives of Women's Mental Health
Moira Chan-Yeung, Felix H W Chan, Amy H K Cheung, David L K Dai, Leung-Wing Chu, Wah-Kit Lam, Chi-Chiu Leung, Kai-Man Kam, Cheuk-Ming Tam
OBJECTIVES: To assess the prevalence of tuberculous infection and active tuberculosis (TB) in old age homes in Hong Kong and to determine whether there is institutional transmission in these homes. DESIGN: Cross-sectional. SETTING: Old age homes. PARTICIPANTS: Total of 2,243 residents, representing 84.6% of all residents in 15 old age homes; 1,698 were women, and 545 were men, with an average age of 82. MEASUREMENTS: All residents had a questionnaire-based interview, medical record review, two-stage tuberculin testing using two units purified protein derivative-RT23, and a chest x-ray...
September 2006: Journal of the American Geriatrics Society
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