Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-30T20:26:31.913Z Has data issue: false hasContentIssue false

Active Tuberculosis in a Healthcare Worker: Are You Ready?

Published online by Cambridge University Press:  02 January 2015

Thomas G. Fraser*
Affiliation:
Cleveland Clinic Department of Infectious Disease, Cleveland, Ohio Quality and Patient Safety Institute, Cleveland, Ohio
Joan Kowalczyk
Affiliation:
Quality and Patient Safety Institute, Cleveland, Ohio
Steven Schmitt
Affiliation:
Cleveland Clinic Department of Infectious Disease, Cleveland, Ohio Quality and Patient Safety Institute, Cleveland, Ohio
Jill Bernstein
Affiliation:
Occupational Health, Cleveland, Ohio
Paul Terpeluk
Affiliation:
Occupational Health, Cleveland, Ohio
J. Walton Tomford
Affiliation:
Cleveland Clinic Department of Infectious Disease, Cleveland, Ohio
Steven M. Gordon
Affiliation:
Cleveland Clinic Department of Infectious Disease, Cleveland, Ohio Quality and Patient Safety Institute, Cleveland, Ohio
*
Department of Infectious Disease/S32 9500 Euclid Avenue, Cleveland, Ohio 44195 ([email protected])

Abstract

We describe a healthcare worker with a previously positive tuberculin skin test result who developed active tuberculosis. An investigation revealed 280 potential contacts, 3 of whom had positive tuberculin skin test results. Our experience demonstrates the potential benefits of therapy for latent tuberculosis infection as a component of a tuberculosis-control program.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.American Thoracic Society, Centers for Disease Control. Targeted tuberculin skin testing and treatment of latent tuberculosis infection. Am J Respir Crit Care Med 2000;161:S221S247.Google Scholar
2.Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR Recomm Rep 2005;54(RR-17):1141.Google Scholar
3.Shukla, SJ, Warren, DK, Woeltje, KF, Gruber, CA, and Fraser, VJ. Factors associated with the treatment of latent tuberculosis infection among health-care workers at a Midwestern teaching hospital. Chest 2002;122:16091614.CrossRefGoogle Scholar
4.Salazar-Schicchi, J, Jedlovsky, V, Ajayi, A, Colson, PW, Hirsch-Moverman, Y, El-Sadr, W. Physician attitudes regarding bacille Calmette-Guerin vaccination and treatment of latent tuberculosis infection. Int J Tuberc Lung Dis 2004;8:14431447.Google Scholar
5.Guidelines for the investigation of contacts of persons with infectious tuberculosis. MMWR Recomm Rep 2005(RR-15):117.Google Scholar
6.Driver, CR, Stricof, RL, Granville, KG, et al. Tuberculosis in health care workers during declining tuberculosis incidence in New York State. Am J Infect Control 2005;33:519526.Google Scholar
7.Mycobacterium tuberculosis transmission in a newborn nursery and maternity ward: New York City 2003. MMWR Recomm Rep 2005;54:12801283.Google Scholar
8.Bertin, M, Scarpelli, M, Proctor, A, et al. Novel use of the intranet to document health care personnel participation in a mandatory influenza vaccination reporting program. Am J Infect Control 2007;35:3337.Google Scholar
9.Menzies, D, Pai, M, Comstock, G. Meta-analysis: new tests for the diagnosis of latent tuberculosis infection: areas of uncertainty and recommendations for research. Ann Intern Med 2007;146:340354.Google Scholar