LA VACCINAZIONE ANTITUBERCOLARE PER GLI STUDENTI DI MEDICINA E CHIRURGIA DELL’UNIVERSITÀ DEGLI STUDI DI ROMA “LA SAPIENZA”: ESPERIENZA DEL CENTRO DI MEDICINA OCCUPAZIONALE

Since early 80’s, tubercolosis cases has present a gradual increase in all industrial countries. This study, is being carried out on 4180 vaccination certificates of nursing students being evaluated by the Occupational Medical Center (OMC) of the University of Rome “La Sapienza”. From the analysis of the study, we realize that Tine test is the main screening test, but the lecture time is not respected (48-72 h) in the public and private structures, despite informations provide by DPR 456/01 and that there are low percentage of subjects cuti-positive performing the chest X-ray. It’s auspicable that the institutions intervene to ensure the standard time for tuberculin test lecture in all italian center, encouraging the use of new test blood. The OMC from 2007 to 2008 on a portal designed biohazard (www.rischiobiologico.org) that contains the registry of occupationally exposed students designed to be shared by public bodies. This allows optimization of the cost-benefit balance avoiding the repetition of clinical screening. The design of educational campaigns and (e-learning) could be used by students and employers to receive correct information on how to minimize the risk of exposure and for proper post-exposure prophylaxis.