Nosocomial transmission of tuberculosis associated with a draining abscess

The Journal of Infectious Diseases
M D HuttonW M Ewing

Abstract

Nine secondary cases of tuberculosis and 59 tuberculin skin test conversions occurred after exposure to a hospitalized patient with a large tuberculous abscess of the hip and thigh. Among 442 tuberculin-negative hospital employees, the relative risk of skin test conversion associated with recalled exposure to the patient was 14.0 (95% confidence limits, 6.8, 28.7). Four of 5 surgical suite employees who assisted with incision and debridement of the abscess had skin test conversions, as did 85% of 33 employees on a general medical floor who recalled exposure to the patient and 30% of 20 intensive care unit employees who recalled exposure. The prevalence of tuberculin reactivity in visitors and other patients on two floors also showed a strong association with exposure to the patient. A high concentration of Mycobacterium tuberculosis in the abscessed tissue, disturbance of the surface of liquid drainage from the abscess by irrigations and by the agitated behavior of the patient, and positive air pressure in the patient's room are factors that appear to have contributed to the high risk of tuberculosis transmission.

Citations

May 1, 1994·Journal of General Internal Medicine·J R CurtisC M Nolan
Dec 14, 2006·International Archives of Occupational and Environmental Health·Alberto FranchiGiuliano Franco
Jun 20, 2003·Lancet·Jean-Louis Vincent
Feb 3, 2004·American Journal of Infection Control·Gwo-Hwa WanYing-Huang Tsai
Mar 1, 1997·Clinics in Chest Medicine·Y M DavisP M Simone
Feb 16, 2006·Epidemiology and Infection·C J NoakesK G Kerr
Jan 12, 1995·The New England Journal of Medicine·D MenziesM Fitzgerald
Sep 1, 2005·Surgical Infections·Philip S Barie
Jun 1, 1996·Genitourinary Medicine·E L CorbettR F Miller
Apr 20, 1999·Radiology·A N Leung
Oct 4, 2014·American Journal of Infection Control·Ichiro KawamuraHanako Kurai
Oct 24, 2014·Current Infectious Disease Reports·Shu-Hua Wang, Preeti Pancholi
Mar 19, 2009·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Meng-Jer HsiehYing-Huang Tsai
Dec 20, 2008·The Lancet Infectious Diseases·Barbara BannisterUNKNOWN EUNID Working Group
Dec 11, 2007·American Journal of Infection Control·Jane D SiegelUNKNOWN Health Care Infection Control Practices Advisory Committee
Jul 4, 2008·The Laryngoscope·Daniel S RobertsKenneth M Grundfast
Dec 24, 2010·Risk Analysis : an Official Publication of the Society for Risk Analysis·Szu-Chieh ChenShu-Han You
Jan 4, 2012·Risk Analysis : an Official Publication of the Society for Risk Analysis·Chung-Min LiaoMin-Pei Ling
Dec 1, 1996·Tubercle and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·N LemaîtreJ Grosset
Feb 1, 1992·American Journal of Infection Control·M D Hutton, J A Polder
Jun 1, 1997·Infectious Disease Clinics of North America·S T Cookson, W R Jarvis
Dec 1, 1994·American Journal of Infection Control·J A JerniganB M Farr
Jan 1, 1993·The Journal of the American Dental Association·R S FaecherB S Bender
Jan 31, 1998·Respiratory Medicine·M RileyG Varghese
Feb 24, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·E M D'AgataL B Lefkowitz
Oct 29, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kashef Ijaz, Kenneth G Castro
Mar 30, 2000·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A G MatlowJ W Balfe
Dec 3, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Charles HuiRoss Pennie
Dec 3, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Janet L LarsonRenée Ridzon
Jun 9, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Gerard de VriesSytze T Keizer
Feb 1, 1992·American Journal of Infection Control·S A Halperin, J M Langley
Jan 23, 2018·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
May 1, 2004·The Journal of Bone and Joint Surgery. American Volume·Kwok Chuen Wong, Kwok Sui Leung
Jan 1, 2015·Current Treatment Options in Infectious Diseases·Julian W TangCatherine J Noakes
Feb 17, 2009·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Ethel Leonor Noia MacielReynaldo Dietze

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