Williams J, Schneider N, Gilligan M E
Infection Control Department, St. Luke's/Roosevelt Hospital, New York, NY 10019, USA.
Am J Infect Control. 1995 Apr;23(2):152-5. doi: 10.1016/0196-6553(95)90260-0.
Between January 1989 and December 1990, 26 patients acquired multidrug-resistant tuberculosis at our institution. Their exposures occurred when they were admitted to a ward where a patient with acid fast bacillus smear-positive pulmonary tuberculosis was also admitted. In 20 cases, the infectious patients were not isolated until the sputum smears were positive. When the outbreak was recognized in the spring of 1990, the infection control department undertook a risk assessment and instituted measures that would become the tuberculosis control program. Since then, administrative and environmental controls have been implemented, education programs are ongoing, personal protective equipment is in use, and a more aggressive employee health testing program is underway. The steps we took and the barriers we had to overcome to implement our plan are included in this article.
1989年1月至1990年12月期间，我院有26名患者感染了耐多药结核病。他们是在入住同一病房时被感染的，当时该病房还收治了一名痰涂片抗酸杆菌阳性的肺结核患者。其中20例中，感染患者直到痰涂片呈阳性时才被隔离。1990年春季疫情被发现后，感染控制部门进行了风险评估，并制定了一系列措施，这些措施后来成为了结核病控制项目。从那时起，我们实施了行政和环境控制措施，持续开展教育项目，使用了个人防护设备，并启动了一项更积极的员工健康检测项目。本文介绍了我们为实施计划所采取的步骤以及必须克服的障碍。
