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  1. Tracing patients exposed to health care workers with tuberculosis.

    Article - En anglais

    Objectives

    Following an outbreak oftuberculosis (TB) among health care workers at a public hospital, the study was undertaken to (a) locate all exposed patients and administer tuberculin skin tests (TSTs) to them, (b) provide clinical treatment or prophylaxis to infected patients, and (c) ascertain the risk of M. tuberculosis transmission from health care workers to patients.

    Methods

    The authors identified all patients who had been hospitalized on floors where health care workers with symptomatic TB worked.

    The staff of the hospital's outpatient HIV/AIDS clinic notified and evaluated clinic patients who had been hospitalized on those floors.

    County health department personnel attempted to contact the remaining patients by letter and phone.

    Results

    The authors identified 586 patients hospitalized during the health care worker outbreak of whom 503 were potentially susceptible.

    Of these, 172 (34.2%) could be contacted, and 138 (80.2%) completed tuberculin skin testing or other follow-up evaluation.

    Of 134 who completed testing, 28 (20.9%) had reactive TSTs.

    In all, 362 patients (72%) were lost to follow-up, including many HIV-positive and homeless patients, who are at high risk of developing active TB once infected with M. tuberculosis.

    Conclusions

    (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Personnel sanitaire, Infection nosocomiale, Milieu hospitalier, Sortie hôpital, Malade, Dépistage, Tuberculine, Test cutané, Homme, Chimiothérapie, Traitement, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bactérie, Transmission, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Health staff, Nosocomial infection, Hospital environment, Hospital discharge, Patient, Medical screening, Tuberculin, Skin test, Human, Chemotherapy, Treatment, Mycobacterium tuberculosis, Mycobacteriaceae, Mycobacteriales, Actinomycetes, Bacteria, Transmission, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0230225

    Code Inist : 002B05B02O. Création : 11/06/1997.