Prevalence of latent TB among health care workers in four major tertiary care hospitals in Riyadh, Saudi Arabia.

BACKGROUND: Tuberculosis (TB) infection represents a global health problem and a great risk to Health Care Workers (HCWs). Identifying individuals, particularly HCWs with latent tuberculosis infection (LTBI) will support TB control through chemoprophylaxis and prevent cross-infection. OBJECTIVES: This study aimed to identify prevalence of Latent TB among a two-year new hires of HCWs in 4 major tertiary care hospitals in Riyadh, Saudi Arabia. MATERIAL AND METHODS: 2650 recently (2-years) hired HCWs were surveyed for latent TB using Tuberculin Skin Test (TST). Data was collected from January 2008 to December 2009. Induration due to TST equal to or more than 10 mm. within 48-72 hours was considered positive. The results of TST were correlated with other variables such as age group, gender, job category, country of origin. RESULTS: as an overall rate, 291(11%) out of 2650 were positive for TST, with the highest significant positive rates among physicians (14.9%) and nurses (12.9%) compared to students as a reference group. No statistically significant difference was detected between both sexes. The highest significant positive TST rates were found among HCWs in the age group of 50 years and older (32.6%) compared to 10-19 years age group as a reference group, and among HCWs coming from sub-Saharan countries (61.1%) compared to Saudi HCWs with the lowest positive rates (5%) as a reference group. CONCLUSION AND RECOMMENDATIONS: LTB is prevalent among newly hired HCWs in Riyadh tertiary hospitals. Standard programs for detection and treatment of LTB should be encouraged.

Factors affecting child mortality in Saudi Arabia.

OBJECTIVE: To estimate levels and trends, gender differentials, effect of modes of living, regional differentials, and the effect of parental educational on infant and child mortality. METHODS: A nationwide stratified random sample was used to estimate levels, trends and differentials of infant and child mortality in Saudi Arabia. The study was executed during the period February 2006 to June 2006 and covered all the 20 health regions of Saudi Arabia. The randomly selected sample was limited to ever married Saudi women in the reproductive age group (15-49 years). RESULTS: The findings show a continuous and considerable infant and child mortality decline during the 1994-2004 period. The infant mortality rate has decline from 22 per 1,000 live births in 1994 to 17 per 1,000 live births in 2004; while the child mortality rate has declined from 34 to 22 per 1,000 live births in the same period. There is a strong relation between infant and child mortality and the mode of living and parental education. CONCLUSION: The study proves the continuous decline of infant and child mortality during the study period and affirms the effect of parental education on these indicators.