Audit of Tuberculosis (TB) incidents in London 2017
PHE ePoster Library. Roche A. Apr 9, 2019; 257523; 15447
Dr. Anita Roche
Dr. Anita Roche
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Abstract
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Abstract Background:
Health Protection Teams (HPTs) work with local tuberculosis (TB) services to risk assess exposure settings where wider public health action may be required. In 2016 a standard operating procedure (SOP) for TB was agreed by London HPTs including a framework for incident response.
Methods:
: An audit tool was developed to describe TB incident activity and assess performance against the new SOP. Hpzone was used to identify and review situations reported between January and June 2017.
Results:
: Over six months 125 TB incidents were managed across the three HPT areas in London (52 NWL, 40 NENCL, 33 SL). Of these 84 were included in the audit. 54% of settings were workplaces (e.g. office, restaurant, factory), 24% were educational (11 schools and 9 colleges or universities), plus a range of other community settings, including healthcare. Thirty three site visits were undertaken by HPTs with TB services also attending ~70%. Wider screening was required in 61% of situations. It was difficult to obtain and collate final outcomes within the time-frame in some circumstances (e.g. case out of area or dispersed contact screening).Conclusion: Despite TB rates falling in London, TB incidents comprise a considerable workload for HPTs. Successful incident management is interdependent on the local TB service. The audit results will be shared with TB networks and the SOP reviewed, to enhance communication and share ownership of outcome timelines. Monitoring TB incident management is key to ensuring delivery of timely and robust risk assessment and screening, and to identify service development requirements. Funding N/A
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