预防医疗环境中结核分枝杆菌的传播。

Preventing Transmission of Mycobacterium tuberculosis in Health Care Settings.

作者信息

Punjabi Chitra D, Perloff Sarah R, Zuckerman Jerry M

机构信息

Department of Medicine, Einstein Medical Center, Klein Building, Suite 300, 5501 Old York Road, Philadelphia, PA 19141, USA.

Infectious Disease Fellowship Program, Internal Medicine Residency Program, Einstein Medical Center, Klein Building, Suite 300, 5501 Old York Road, Philadelphia, PA 19141, USA.

出版信息

Infect Dis Clin North Am. 2016 Dec;30(4):1013-1022. doi: 10.1016/j.idc.2016.07.003. Epub 2016 Sep 19.

DOI:10.1016/j.idc.2016.07.003

PMID:27660092

Abstract

Patients with tuberculosis (TB) pose a risk to other patients and health care workers, and outbreaks in health care settings occur when appropriate infection control measures are not used. In this article, we discuss strategies to prevent transmission of Mycobacterium tuberculosis within health care settings. All health care facilities should have an operational TB infection control plan that emphasizes the use of a hierarchy of controls (administrative, environmental, and personal respiratory protection). We also discuss resources available to clinicians who work in the prevention and investigation of nosocomial transmission of M tuberculosis.

摘要

结核病患者会对其他患者和医护人员构成风险，若未采取适当的感染控制措施，医疗机构内就会发生疫情。在本文中，我们讨论了在医疗机构内预防结核分枝杆菌传播的策略。所有医疗机构都应制定一项可操作的结核病感染控制计划，该计划强调采用一系列控制措施（管理措施、环境措施和个人呼吸道防护措施）。我们还讨论了为从事预防和调查结核分枝杆菌医院内传播工作的临床医生提供的可用资源。