Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, 507 Zhengmin Road, Yangpu District, Shanghai, 200433, People's Republic of China.
Infection. 2013 Aug;41(4):841-4. doi: 10.1007/s15010-013-0442-y. Epub 2013 Mar 7.
Tuberculosis (TB) infection in healthcare personnel occurs mostly by mycobacteria inhalation and contact with infected material. Here, we report a case of primary inoculation TB in a surgeon resulting from an accidental scalpel injury. Standard anti-TB treatment produced a good result, and no relapses occurred in the 18-month follow-up period. Given the increased incidence of TB and the use of surgery to treat multidrug-resistant (MDR) strains, this report underscores the need to take special precautions during lesion excision in TB patients.
医护人员的结核(TB)感染主要通过分枝杆菌吸入和接触受感染的物质引起。在此,我们报告了一例因意外手术刀损伤导致的外科医生原发性接种性 TB 病例。标准抗结核治疗效果良好,18 个月随访期间无复发。鉴于结核病发病率的增加以及手术治疗耐多药(MDR)菌株的应用,本报告强调了在 TB 患者进行病灶切除时需要采取特殊预防措施。