Harrison A C
Department of Respiratory Medicine, Green Lane Hospital, Auckland.
N Z Med J. 1987 Jun 10;100(825):349-52.
A survey of six New Zealand hospitals, each of which employs at least one respiratory physician, demonstrated lack of uniformity and several deficiencies in measures to prevent nosocomial tuberculosis. Preemployment screening measures in particular were frequently suboptimal. Suggested improvements include upgrading tuberculosis control policies at a national level, with input from hospital boards, clinicians, and the Department of Health. Future policy changes should be based upon local and national experience and this requires the auditing of hospital control measures. The number of health workers amongst new cases of tuberculosis should also be recorded and taken into account.
一项针对六家新西兰医院的调查显示，这些医院每家至少雇用一名呼吸内科医生，但在预防医院内结核病的措施方面缺乏统一性且存在若干缺陷。特别是入职前筛查措施常常不够理想。建议的改进措施包括在医院董事会、临床医生和卫生部的参与下，在国家层面升级结核病控制政策。未来的政策变化应基于地方和国家经验，这需要对医院控制措施进行审计。还应记录并考虑结核病新病例中卫生工作者的数量。
