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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> O controlo da tuberculose &#40;TB&#41; em profissionais de sa&#250;de passa pelo reconhecimento precoce dos contactos&#44; adop&#231;&#227;o de medidas de protec&#231;&#227;o eficazes e despiste dos casos de tuberculose latente &#40;TL&#41; e latente recente&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Rastreio sistem&#225;tico de TB e TL nos profissionais de sa&#250;de com contacto com doentes ou funcion&#225;rios com TB e risco de cont&#225;gio&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Num hospital com aproximadamente 5400 funcion&#225;rios&#44; entre Setembro de 2007 e Dezembro de 2008&#44; realizaram-se 13 rastreios de risco de TB continuada&#46; Estes foram constitu&#237;dos por observa&#231;&#227;o cl&#237;nica&#44; realiza&#231;&#227;o de prova de tuberculina &#40;PT&#41;&#44; teste de Quantiferon&#174;-TB Gold &#40;QTF&#41; se PT &#8805;<span class="elsevierStyleHsp" style=""></span>10mm e &#60;<span class="elsevierStyleHsp" style=""></span>15mm e RX t&#243;rax&#46; O diagn&#243;stico foi efectuado de acordo com as recomenda&#231;&#245;es da SPP&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Nos 13 rastreios efectuados foram englobados 792 profissionais &#40;563 &#9792;&#59; 229 &#9794;&#41;&#46; Destes&#44; 75 apresentavam sintomas e 31 altera&#231;&#245;es radiol&#243;gi-cas&#46; A PT foi efectuada em 490 profissionais&#44; sendo &#60;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm em 250&#44; &#8805;<span class="elsevierStyleHsp" style=""></span>10 e &#60;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 175 &#40;QTF positivo em 36&#41; e &#8805;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 65&#46; Dos profissionais rastreados&#44; 280 tinham PT anterior &#8805;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm&#44; pelo que n&#227;o foi repetida&#46; Durante o rastreio foi diagnosticado um caso de TB activa num profissional&#44; 408 casos de TL &#40;51&#44;5&#37;&#41; e 42 de TL recente &#40;5&#44;3&#37;&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> A TB &#233; considerada como doen&#231;a profissional nos profissionais da sa&#250;de&#46; O rastreio dos contactos e dos casos de TL &#233; uma importante ferramenta para o diagn&#243;stico precoce de doen&#231;a activa e para a identifica&#231;&#227;o dos casos de maior risco de doen&#231;a futura&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;1&#41;&#58; 5-21</span></p></span>"
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Artigo Original/Original Article
Tuberculose – Risco de transmissão continuada em profissionais de saúde
Tuberculosis – Risk of continued transmission in healthcare workers
José Torres Costa1,2,3,
Corresponding author
zecatoco@sapo.pt

Correspondência/Correspondence to: José Torres da Costa, Estrada de St.ª Luzia, n.º 269 4900-408 Viana do Castelo, Portugal
, Rui Silva1,2,3, Raul Sá1, Maria João Cardoso4, José Ferreira1, Carla Ribeiro1, Mário Miranda1,2,3, José Luís Plácido1,2
1 Serviço de Saúde Ocupacional, Hospital S. João, EPE – Porto/Occupational Health Unit, Hospital S. João, EPE – Porto, Portugal
2 Serviço de Imunoalergologia, Hospital S. João, EPE – Porto/Allergology and Clinical Immunology Unit, Hospital S. João, EPE – Porto, Portugal
3 Faculdade de Medicina, Universidade do Porto/Faculty of Medicine, Universidade do Porto, Portugal
4 Serviço de Patologia Clínica, Hospital S. João, EPE – Porto/Clinical Pathology Unit, Hospital S. João, EPE – Porto, Portugal
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> O controlo da tuberculose &#40;TB&#41; em profissionais de sa&#250;de passa pelo reconhecimento precoce dos contactos&#44; adop&#231;&#227;o de medidas de protec&#231;&#227;o eficazes e despiste dos casos de tuberculose latente &#40;TL&#41; e latente recente&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Rastreio sistem&#225;tico de TB e TL nos profissionais de sa&#250;de com contacto com doentes ou funcion&#225;rios com TB e risco de cont&#225;gio&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Num hospital com aproximadamente 5400 funcion&#225;rios&#44; entre Setembro de 2007 e Dezembro de 2008&#44; realizaram-se 13 rastreios de risco de TB continuada&#46; Estes foram constitu&#237;dos por observa&#231;&#227;o cl&#237;nica&#44; realiza&#231;&#227;o de prova de tuberculina &#40;PT&#41;&#44; teste de Quantiferon&#174;-TB Gold &#40;QTF&#41; se PT &#8805;<span class="elsevierStyleHsp" style=""></span>10mm e &#60;<span class="elsevierStyleHsp" style=""></span>15mm e RX t&#243;rax&#46; O diagn&#243;stico foi efectuado de acordo com as recomenda&#231;&#245;es da SPP&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Nos 13 rastreios efectuados foram englobados 792 profissionais &#40;563 &#9792;&#59; 229 &#9794;&#41;&#46; Destes&#44; 75 apresentavam sintomas e 31 altera&#231;&#245;es radiol&#243;gi-cas&#46; A PT foi efectuada em 490 profissionais&#44; sendo &#60;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm em 250&#44; &#8805;<span class="elsevierStyleHsp" style=""></span>10 e &#60;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 175 &#40;QTF positivo em 36&#41; e &#8805;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm em 65&#46; Dos profissionais rastreados&#44; 280 tinham PT anterior &#8805;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm&#44; pelo que n&#227;o foi repetida&#46; Durante o rastreio foi diagnosticado um caso de TB activa num profissional&#44; 408 casos de TL &#40;51&#44;5&#37;&#41; e 42 de TL recente &#40;5&#44;3&#37;&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> A TB &#233; considerada como doen&#231;a profissional nos profissionais da sa&#250;de&#46; O rastreio dos contactos e dos casos de TL &#233; uma importante ferramenta para o diagn&#243;stico precoce de doen&#231;a activa e para a identifica&#231;&#227;o dos casos de maior risco de doen&#231;a futura&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;1&#41;&#58; 5-21</span></p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Control of tuberculosis &#40;TB&#41; in healthcare workers requires an early recognition of contacts&#44; the adoption of efficient protective measures and screening for cases of latent tuberculosis &#40;TL&#41; and recent TL&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims&#58;</span> Systematic screening for TB and TL in healthcare workers with contact with patients or other workers with TB and risk of contagion&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> In a hospital with approximately 5400 workers 13 screenings were performed September 2007&#8211; December 2008 due to risk of continued TB&#46; These consisted of clinical observation&#44; tuberculin skin test &#40;PT&#41;&#44; Quantiferon&#174;-TB Gold &#40;QTF&#41; test if PT &#8805;<span class="elsevierStyleHsp" style=""></span>10mm and &#60;<span class="elsevierStyleHsp" style=""></span>15mm and chest X-ray&#46; The diagnoses were performed according to the recommendations of the Portuguese Pulmonolgy Society &#40;SPP&#41;&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Results&#58; 792 workers &#40;563 &#9794;&#59; 229 &#9792;&#41; were included in the 13 screenings&#46; Of these&#44; 75 presented symptoms and 31 had radiology abnormalities&#46; PT was performed in 490 workers&#44; with results &#60;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm in 250&#44; &#8805;<span class="elsevierStyleHsp" style=""></span>10 and &#60;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm in 175 &#40;QTF positive in 36&#41; and &#8805;<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>mm in 65&#46; Of the screened workers&#44; 280 had a previous PT &#8805;<span class="elsevierStyleHsp" style=""></span>15 mm&#44; and therefore it was not repeated&#46; 1 case of active TB was diagnosed in a worker&#44; as well as 408 cases of TL &#40;51&#46;5&#37;&#41; and 42 cases of recent TL &#40;5&#46;3&#37;&#41;&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Conclusions&#58; TB is considered an occupational disease in healthcare workers&#46; The screening of contacts and TL cases is an important tool for an early diagnosis of active disease and for identifying the cases with higher risk of future disease&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;1&#41;&#58; 5-21</span></p></span>"
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                        "titulo" => "Tuberculosis and the health care worker&#58; a historical perspective"
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                            "etal" => false
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                              0 => "K&#46;A&#46; Sepkowitz"
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                        "Revista" => array:5 [
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                            "autores" => array:3 [
                              0 => "D&#46; Menzies"
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                      0 => array:2 [
                        "doi" => "10.1056/NEJM199501123320206"
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                          "tituloSerie" => "New Engl J Med"
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                          "volumen" => "332"
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                        "titulo" => "Risk of tuberculin conversion among healthcare workers and the adoption of preventive measures"
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                            "autores" => array:3 [
                              0 => "I&#46; Baussano"
                              1 => "M&#46; Bugiani"
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                      0 => array:2 [
                        "doi" => "10.1136/oem.2006.028068"
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                          "tituloSerie" => "Occup Environ Med"
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                        "titulo" => "Tuberculose em profissionais de sa&#250;de de um servi&#231;o hospitalar"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "S&#46; Saleiro"
                              1 => "A&#46; Santos"
                              2 => "O&#46; Vidal"
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                              5 => "J&#46;A&#46; Marques"
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                        "Revista" => array:7 [
                          "tituloSerie" => "Rev Port Pneumol"
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                        "titulo" => "Tuberculosis in the workplace"
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                              0 => "Institute of Medicine"
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                        "titulo" => "Risk of tuberculosis infection and disease associated with work in health care settings"
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                            "etal" => false
                            "autores" => array:3 [
                              0 => "D&#46; Menzies"
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                              2 => "M&#46; Pai"
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                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "International Journal of Tuberculosis Lung Disease"
                          "fecha" => "2007"
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                          "numero" => "6"
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                        "titulo" => "Tuberculosis among health care workers during three recent decades"
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                            "etal" => false
                            "autores" => array:2 [
                              0 => "M&#46; Ratio"
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                      0 => array:1 [
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                          "tituloSerie" => "Eur Respir J"
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                          "titulo" => "Guidelines for preventing the transmission of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> in health-care settings"
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                "identificador" => "bb0065"
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                  0 => array:1 [
                    "referenciaCompleta" => "Minist&#233;rio do Trabalho e da Seguran&#231;a Social &#8211; Es-tat&#237;sticas Dispon&#237;veis &#8211; Doen&#231;as Profissionais&#46; <a href="http://195.245.197.202/left.asp?02.21.03.07">http&#58;&#47;&#47;195&#46;245&#46;197&#46;202&#47;left&#46;asp&#63;02&#46;21&#46;03&#46;07</a> &#40;acedida em 24 de Fevereiro de 2009&#41;&#46;"
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                      0 => array:2 [
                        "titulo" => "Priorities for the treatment of latent tuberculosis infection in the United States"
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                            "etal" => false
                            "autores" => array:1 [
                              0 => "C&#46;R&#46; Horsburgh"
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                      0 => array:2 [
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                          "fecha" => "2004"
                          "volumen" => "350"
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                        "titulo" => "Tratamento da Tuberculose Latente &#8211; revis&#227;o das normas&#46; Comiss&#227;o de Trabalho de Tuberculose da Sociedade Portuguesa de Pneumologia"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "R&#46; Duarte"
                              1 => "J&#46; Amado"
                              2 => "H&#46; Lucas"
                              3 => "J&#46;M&#46; Sapage"
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                    ]
                    "host" => array:1 [
                      0 => array:1 [
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                              0 => "E&#46; Vynnycky"
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ISSN: 08732159
Original language: Portuguese
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2019 February 31 17 48
2019 January 28 16 44
2018 December 22 13 35
2018 November 2 0 2
2018 October 5 6 11
2018 September 17 7 24
2018 August 40 26 66
2018 July 18 19 37
2018 June 50 18 68
2018 May 41 13 54
2018 April 51 33 84
2018 March 32 30 62
2018 February 40 12 52
2018 January 34 19 53
2017 December 41 15 56
2017 November 34 25 59
2017 October 20 14 34
2017 September 21 8 29
2017 August 19 12 31
2017 July 12 5 17
2017 June 32 26 58
2017 May 36 23 59
2017 April 14 7 21
2017 March 17 29 46
2017 February 10 7 17
2017 January 11 8 19
2016 December 13 4 17
2016 November 7 2 9
2016 October 11 9 20
2016 September 5 3 8
2016 August 3 3 6
2016 July 3 3 6
2016 June 0 3 3
2016 May 2 4 6
2016 April 3 1 4
2016 March 5 5 10
2016 February 14 10 24
2016 January 9 6 15
2015 December 14 5 19
2015 November 3 2 5
2015 October 2 2 4
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Pulmonology

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