一家儿童医院内结核分枝杆菌的医院内传播。

Nosocomial transmission of Mycobacterium tuberculosis in a children's hospital.

作者信息

Lee E H, Graham P L, O'Keefe M, Fuentes L, Saiman L

机构信息

Department of Pediatrics, Children's Hospital of New York-Presbyterian, New York, USA.

出版信息

Int J Tuberc Lung Dis. 2005 Jun;9(6):689-92.

PMID:15971399

Abstract

An infant was admitted for evaluation of respiratory distress and tracheomalacia. After several weeks of hospitalization, both the infant and her mother were diagnosed with culture-positive pulmonary tuberculosis (TB). Sixteen pediatric patients and 293 health care workers were evaluated for exposure to Mycobacterium tuberculosis. Tuberculin skin test conversions occurred in 6.7% of patients and 1.9% of pediatric health care workers. While nosocomial transmission of TB is relatively rare in children's hospitals, this report highlights the differences between TB control efforts in pediatric vs. adult facilities, including the importance of screening the adult visitors of children admitted with suspected TB.

摘要

一名婴儿因呼吸窘迫和气管软化入院评估。住院几周后，婴儿及其母亲均被诊断为痰培养阳性的肺结核。对16名儿科患者和293名医护人员进行了结核分枝杆菌暴露评估。患者中结核菌素皮肤试验阳转率为6.7%，儿科医护人员中为1.9%。虽然结核病在儿童医院的医院内传播相对少见，但本报告强调了儿科与成人医疗机构结核病防控措施的差异，包括筛查疑似结核病患儿的成人访客的重要性。