Pai Madhukar, Kalantri Shriprakash, Aggarwal Ashutosh Nath, Menzies Dick, Blumberg Henry M
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Emerg Infect Dis. 2006 Sep;12(9):1311-8. doi: 10.3201/eid1209.051663.
Most high-income countries implement tuberculosis (TB) infection control programs to reduce the risk for nosocomial transmission. However, such control programs are not routinely implemented in India, the country that accounts for the largest number of TB cases in the world. Despite the high prevalence of TB in India and the expected high probability of nosocomial transmission, little is known about nosocomial and occupational TB there. The few available studies suggest that nosocomial TB may be a problem. We review the available data on this topic, describe factors that may facilitate nosocomial transmission in Indian healthcare settings, and consider the feasibility and applicability of various recommended infection control interventions in these settings. Finally, we outline the critical information needed to effectively address the problem of nosocomial transmission of TB in India.
大多数高收入国家实施结核病（TB）感染控制计划，以降低医院内传播的风险。然而，印度并未常规实施此类控制计划，而该国是世界上结核病病例数最多的国家。尽管印度结核病患病率很高，且医院内传播的可能性预计也很高，但关于该国医院内和职业性结核病的情况却知之甚少。现有的少数研究表明，医院内结核病可能是个问题。我们回顾了关于这一主题的现有数据，描述了可能促进印度医疗机构内传播的因素，并考虑了各种推荐的感染控制干预措施在这些环境中的可行性和适用性。最后，我们概述了有效解决印度医院内结核病传播问题所需的关键信息。
