Determinants of latent tuberculosis infection among nurses at public health centers in Indonesia


latent tuberculosis
occupational health
public health
risk factors

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Erawati, M., & Andriany, M. (2022). Determinants of latent tuberculosis infection among nurses at public health centers in Indonesia. Belitung Nursing Journal, 8(1), 28–34.
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Accepted for publication: 2021-11-18
Peer reviewed: Yes

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Background: The incidence of latent tuberculosis among healthcare workers, especially nurses, at public health centers in Indonesia has been increased. Therefore, factors related to the tuberculosis incidence need to be further investigated.

Objective: This study aimed to identify the determinants of latent tuberculosis infection among nurses at public health centers in Indonesia.

Methods: This non-experimental, cross-sectional study included 98 nurses. Data on the determinants of latent tuberculosis infection were collected using validated questionnaires, and the infection status was confirmed by Interferon Gamma Release Assay or IGRA test. Logistic regression was used for statistical analysis, with a significance level of p < 0.05.

Results: Health facilities for tuberculosis transmission prevention were available in all public health centers (100%). Protocols for preventingtuberculosis transmission including occupational health and safety training (OR = 13.24, 95% CI [2.29–58.55]; p = 0.001), handwashing after contact with patients or specimens (OR = 20.55, 95% CI [4.23–99.93]; p = 0.000), and wearing of medical masks (OR = 9.56, 95% CI [1.99–45.69];p = 0.005) were found to be significant determinants of latent tuberculosis infection among nurses.

Conclusion: The availability of protective equipment and implementation of health protocols among nurses at public health centers are the main determinants of latent tuberculosis infection. Hence, they should be maintained by all nurses to prevent the spread of tuberculosis.

Supporting Agencies

Ministry of Research, Technology, and Higher Education (DRPM), Republic of Indonesia (Basic Research Grant, No 257-11/UN7.P4.3/PP/2019 in 2019)


Copyright (c) 2022 Meira Erawati, Megah Andriany

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors declare that they have no conflict of interest in this study.


The researchers would like to thank the Ministry of Research, Technology, and Higher Education (DRPM) for funding this research. Also, the researchers acknowledge the nurses who participated in this study.

Authors’ Contributions

ME and MA conceptualized the article, conducted the data gathering, analyzed the data, and developed the manuscript equally. All authors agreed with the final version of the manuscript to be published, and they were accountable for all aspects of the work.

Data Availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.


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