PMID: 9187953Jun 1, 1997Paper

Prevention of nosocomial transmission of Mycobacterium tuberculosis

Infectious Disease Clinics of North America
S T Cookson, W R Jarvis

Abstract

The recent resurgence of TB together with the ongoing HIV epidemic has resulted in a larger number of infectious TB patients being admitted to US health care facilities. These patients have become a source for both nosocomial (patient-to-patient) and occupational (patient-to-health care worker) M. tuberculosis transmission. Infectious MDR-TB patients serve as even greater potential infectious sources because they often remain AFB smear and culture positive for months to years. The keys to the prevention of nosocomial and occupational transmission of M. tuberculosis is conducting a risk assessment for each area of the facility and instituting appropriate control measures, having a high index of suspicion by clinicians for infectious TB in those who present with consistent signs and symptoms, rapid triage of such patients to isolation areas and their appropriate clinical work-up, and the institution of effective antituberculous therapy. Infection control personnel should ensure that infectious TB patients are isolated in appropriate isolation rooms (i.e., negative pressure, greater than or equal to 6 ACH, and direct external exhaust of the room air). Health care workers with infectious TB patient contact should be instructed in t...Continue Reading

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Citations

May 2, 2001·Journal of Interferon & Cytokine Research : the Official Journal of the International Society for Interferon and Cytokine Research·T TakiiK Onozaki
Feb 7, 2014·Journal of Occupational and Environmental Hygiene·Marie A de Perio, R Todd Niemeier
Jan 16, 2008·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Yi-Chun WuRuey-Shiung Lin
Jul 15, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Amit S ChitnisJennifer M Flood
Aug 17, 2002·The Journal of Hospital Infection·P M SuttonR J Harrison
Dec 3, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marcella McGuinnJohn Segreti
Dec 3, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Güler KanraTamer Pehlivanli
Sep 14, 2016·The American Journal of Tropical Medicine and Hygiene·Eduardo TiconaRobert H Gilman
Oct 15, 2003·Journal of the International Association of Physicians in AIDS Care : JIAPAC·Pedro CahnClaudia Ochoa

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