Sepkowitz K A
Infectious Disease Service, Memorial Sloan-Kettering Cancer Center, New York Hospital-Cornell Medical Center, NY 10021.
Ann Intern Med. 1994 Jan 1;120(1):71-9. doi: 10.7326/0003-4819-120-1-199401010-00012.
Many hospital outbreaks of tuberculosis have occurred in recent years in the United States, resulting in tuberculosis infection and disease among health care workers and patients. Several hospital workers have died of nosocomially acquired multidrug-resistant tuberculosis. Assuring the safety of the health care worker with respect to tuberculosis has become an urgent priority. A review of the medical literature of the past 100 years reveals that our current view of tuberculosis care as an occupational hazard emerged only in the 1950s, after a fierce and extensive debate. Many authorities had felt that care of the tuberculous patient conferred a health advantage to the care provider. This paper reviews this debate and considers steps taken decades ago, before our current environmental interventions were available to ensure the safety of the health care worker.
近年来，美国多家医院爆发了结核病疫情，导致医护人员和患者感染结核病并发病。数名医院工作人员死于医院获得性耐多药结核病。确保医护人员在结核病方面 的安全已成为当务之急。回顾过去100年的医学文献发现，我们目前将结核病护理视为职业危害的观点直到20世纪50年代才出现，此前进行了激烈而广泛的辩论。许多权威人士认为，照顾结核病患者会给护理人员带来健康益处。本文回顾了这场辩论，并考虑了几十年前在我们目前的环境干预措施出现之前为确保医护人员安全而采取的措施。
