Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Assessing the relative importance of the components of an occupational tuberculosis control program.

Authors
Nicas-M
Source
J Occup Environ Med 1998 Jul; 40(7):648-654
NIOSHTIC No.
20024406
Abstract
Hospital-based occupational tuberculosis (TB) control programs have four basic components: rapid detection of TB disease in presenting patients; use of environmental controls, including personal respiratory protection; periodic tuberculin skin testing; and administration of prophylactic antibiotic therapy to newly infected employees. This article assesses which component is the most important in reducing TB disease risk among health care workers. A quantitative framework for estimating disease risk is developed, and two important results are described. First, the rapid identification of TB disease in presenting patients is the most important element in the overall program. Second, once TB disease has been identified, the use of highly efficient environmental controls (which include respiratory protection) becomes the most important element; these controls are especially important for procedures such as bronchoscopy and autopsy, which can aerosolize large numbers of viable Mycobacterium tuberculosis bacilli.
Keywords
Infectious-diseases; Infection-control; Disease-transmission; Disease-incidence; Disease-control; Risk-analysis; Risk-factors; Health-care-personnel; Engineering-controls; Occupational-health; Health-care-facilities; Environmental-control; Environmental-factors; Diseases; Antibiotics
Contact
Mark Nicas, PhD, Center for Occupational and Environmental Health, School of Public Health, University of California, Berkeley, CA 94720
CODEN
JOEMFM
Publication Date
19980701
Document Type
Journal Article
Funding Amount
161775
Funding Type
Grant
Fiscal Year
1998
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-K01-OH-000155
Issue of Publication
7
ISSN
1076-2752
Priority Area
Research Tools and Approaches: Risk Assessment Methods
Source Name
Journal of Occupational and Environmental Medicine
State
CA
Performing Organization
University of California-Berkeley, School of Public Health, Center for Occupational and Environmental Health, Berkeley, CA 94720
TOP