Evidence map›Paper›PMID 42216010›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2026

Seven-year surveillance of latent tuberculosis infection using interferon-gamma release assay among health workers at a large tertiary hospital in Thailand.

Naesinee Chaiear, Chatpong Ngamchokwathana, Phanumas Krisorn, Warisa Soonthornvinit, Yingrit Chantarasuk, Arunya Chonlapan, Arpa Surapaitoon, Patimaporn Chanpho, Wipa Reechaipichitkul

Abstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Naesinee ChaiearDepartment of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0001-9295-6760
Chatpong NgamchokwathanaDepartment of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. chatnga@kku.ac.th.ORCID http://orcid.org/0000-0002-0455-1729
Phanumas KrisornDepartment of Community, Family, and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0003-3034-9337
Warisa SoonthornvinitDepartment of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0009-0002-5831-9375
Yingrit ChantarasukDepartment of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0009-0002-7364-781X
Arunya ChonlapanDepartment of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0009-0004-1365-7439
Arpa SurapaitoonDepartment of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0009-0008-6933-7265
Patimaporn ChanphoOccupational Health Management and Service Section, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0001-5424-5220
Wipa ReechaipichitkulDepartment of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0002-4536-6773

Funding

Faculty of Medicine, Khon Kaen University AS64201
6 · The paper itself

Abstract

backgroundDespite ongoing TB control efforts, health workers (HWs) in Thailand remain at risk for latent tuberculosis infection (LTBI), yet the burden of LTBI in Thai HWs is insufficiently characterized. This study aimed to determine LTBI proportions across preplacement, post-exposure, and annual screening approaches, and to identify factors associated with LTBI among HWs.

methodsThis retrospective analysis (2016-2022) utilized secondary data from an LTBI surveillance program at a large Thai tertiary hospital. HWs underwent LTBI screening with interferon-gamma release assays (IGRAs) through three surveillance approaches: preplacement, post-exposure, and annual screening in high-risk units (2021-2022). LTBI was defined as IGRA-positive in the absence of active TB. Demographic and exposure characteristics were recorded; associations were analyzed using chi-square and Mann-Whitney U tests. An exploratory restricted analysis using multivariable logistic regression was also performed to assess between-cohort patterns.

resultsBetween 2016 and 2020, LTBI was detected in 198 of 1,823 HWs (10.9%; 95% CI: 9.5-12.4). Preplacement screening identified LTBI in 96 of 1,230 HWs (7.8%; 95% CI: 6.5-9.5), while post-exposure surveillance detected LTBI in 102 of 706 HWs (14.4%; 95% CI: 12.1-17.2). Annual surveillance (2021-2022) yielded 47 cases among 626 HWs (7.5%; 95% CI: 5.7-9.8). Among HWs diagnosed with LTBI in the preplacement and post-exposure cohorts, 40.9% of LTBI cases initiated TB preventive treatment. In post-exposure surveillance, older age and higher exposure-priority categories were associated with LTBI, although estimates for priority categories were imprecise because of sparse data.

conclusionsLTBI remains an important occupational health concern among HWs, with the highest detection proportion observed during post-exposure surveillance. These findings highlight the ongoing need for targeted, risk-based monitoring and efforts to enhance TB preventive treatment uptake in healthcare settings.

Indexed as

Health workersLatent tuberculosis infectionPost-exposure surveillanceTuberculosis

Identifiers

PMID42216010
PMCPMC13435524

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.