Heyns Louis, Gie Robert P, Goussard Pierre, Beyers Nulda, Warren Rob M, Marais Ben J
Desmond Tutu TB Centre and the Department of Paediatrics and Child Health, Tygerberg Children's Hospital and the Faculty of Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Acta Paediatr. 2006 May;95(5):535-9. doi: 10.1080/08035250600636560.
Kangaroo mother care (KMC) has become the standard of care for low-risk preterm babies born in developing countries. However, the potential risk of nosocomial transmission of Mycobacterium tuberculosis within KMC units, particularly in tuberculosis-endemic areas, has not been explored. We report an infant (sentinel case) who was admitted to our paediatric intensive care unit (PICU) with extensive pulmonary tuberculosis.
When interviewed, the mother reported no household contact with a tuberculosis source case, but mentioned that she shared a KMC room with someone who had symptoms suspicious of tuberculosis. We found molecular evidence that nosocomial transmission of M. tuberculosis occurred within the KMC unit and conducted a contact investigation of all infants exposed to this infectious source case during her stay in the KMC unit.
We present the findings of the contact investigation and discuss the implications of these findings for KMC units, particularly in tuberculosis-endemic areas.
袋鼠式护理（KMC）已成为发展中国家出生的低风险早产儿的护理标准。然而，尚未探讨在KMC病房内，尤其是在结核病流行地区，结核分枝杆菌发生医院内传播的潜在风险。我们报告了一名因广泛肺结核入住我们儿科重症监护病房（PICU）的婴儿（哨兵病例）。
在访谈时，母亲报告家中没有与结核病源病例接触，但提到她在KMC病房与一名有可疑结核病症状的人共用一个房间。我们发现了结核分枝杆菌在KMC病房内发生医院内传播的分子证据，并对该感染源病例在KMC病房期间所有接触过的婴儿进行了接触者调查。
我们展示了接触者调查的结果，并讨论了这些结果对KMC病房的影响，尤其是在结核病流行地区。
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