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In Support of Bacillus of Calmette and Guérin for Healthcare Workers

Published online by Cambridge University Press:  02 January 2015

Adam W.J. Jenney  and
Denis W. Spelman
Adam W.J. Jenney
Affiliation:
Department of Microbiology and Infectious Diseases, Alfred Hospital, Prahran, Melbourne, Victoria, Australia
Denis W. Spelman*
Affiliation:
Department of Microbiology and Infectious Diseases, Alfred Hospital, Prahran, Melbourne, Victoria, Australia
*
Department of Microbiology and Infectious Diseases, Alfred Hospital, Prahran, Melbourne, Victoria, 3181, Australia
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Abstract

Although widely used outside the United States, bacillus of Calmette and Guerin (BCG) immunization generally is given scant consideration in the US literature. We believe that the recent resurgence of tuberculosis, including multidrug-resistant tuberculosis, is a compelling argument for the use of BCG in healthcare workers and that BCG given to those at risk of exposure could be more effective than routine tuberculin skin testing and isoniazid prophylaxis.

Type
Readers' Forum
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 3 , March 1998 , pp. 191 - 193
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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References

1. Centers for Disease Control and Prevention. Tuberculosis morbidity—United States, 1994. MMWR 1995;44:387–389, 395.Google Scholar
2. Malin, AS, McAdam, KPWJ. Escalating threat from tuberculosis: the third epidemic. Thorax 1995;50(suppl 1):S37–S42.CrossRefGoogle ScholarPubMed
3. Nolan, CM. Tuberculosis in healthcare professionals: assessing and accepting the risk. Ann Intern Med 1994;120:964–965.CrossRefGoogle ScholarPubMed
4. McGowan, JE Jr. Nosocomial tuberculosis: new progress in control and prevention. Clin Infect Dis 1995;21:489–505.CrossRefGoogle ScholarPubMed
5. Fagan, MJ, Poland, GA. Tuberculin skin testing in medical students: a survey of US medical schools. Ann Intern Med 1994;120:930–931.CrossRefGoogle Scholar
6. Templeton, GL, Illing, LA, Young, L, Cabe, MD, Stead, WW, Bates, JH. The risks of transmission of Mycobacterium tuberculosis at the bedside and during autopsy. Ann Intern Med 1995;122:922–925.CrossRefGoogle ScholarPubMed
7. Griffith, DE, Hardeman, JL, Zhang, Y, Wallace, RJ, Mazurek, GH. Tuberculosis outbreak among healthcare workers in a community hospital. Am J Respir Crit Care Med 1995;152:808–811.CrossRefGoogle Scholar
8. Department of Health and Human Services Centers for Disease Control. Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare facilities, part II. Federal Register 10 28, 1994;59(208):54242–54303.Google Scholar
9. Stead, WW. Management of healthcare workers after inadvertent exposure to tuberculosis: a guide for the use of preventive therapy. Ann Intern Med 1995;122:906–912.CrossRefGoogle ScholarPubMed
10. Hamburg, MA, Frieden, TR. Tuberculosis transmission in the 1990s. N Engl J Med 1994;330:1750–1751.CrossRefGoogle ScholarPubMed
11. Alland, D, Kalkut, GE, Moss, AR, McAdam, RA, Hahn, JA, Bosworth, W, et al. Transmission of tuberculosis in New York City. N Engl J Med 1994;330:1710–1716.CrossRefGoogle ScholarPubMed
12. Small, PM, Hopewell, PC, Singh, SP, Paz, A, Parsonnet, J, Ruston, DC, et al. The epidemiology of tuberculosis in San Francisco. N Engl J Med 1994;330:1703–1709.CrossRefGoogle ScholarPubMed
13. Greenberg, PD, Lax, KG, Schecter, CB. TB in house staff. Am Rev Respir Dis 1991;143:490–495.CrossRefGoogle Scholar
14. Salpeter, S. Tuberculosis prophylaxis. West J Med 1992;157:421–424.Google Scholar
15. Hart, PD, Sutherland, I. BCG and vole bacillus vaccines in the prevention of tuberculosis in adolescence and early adult life. BMJ 1977;2:293–295.CrossRefGoogle ScholarPubMed
16. Colditz, GA, Brewer, TF, Berkey, CS, et al. Efficacy of BCG vaccine in prevention of TB. JAMA 1994;271:698–702.CrossRefGoogle Scholar
17. Decker, MD, Schaffner, W. Immunization of hospital personnel and other healthcare workers. Infect Dis Clin of North Am 1991;4:211–221.CrossRefGoogle Scholar
18. Centers for Disease Control and Prevention. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR 1995:44;1–16.Google Scholar
19. Colditz, AG, Brewer, TF, Berkey, CS, Wilson, ME, Burdick, E, Fineberg, HV, et al. The challenge of tuberculosis: statements on global control and prevention. Lancet 1995;346:809–819.Google Scholar
20. Nettleman, MD. Use of BCG in shelters for the homeless. A decision analysis. Chest 1993;103:1087–1090.CrossRefGoogle ScholarPubMed
21. Brewer, TF, Colditz, GA. Bacille Calmette-Guérin vaccination for the prevention of tuberculosis in healthcare workers. Clin Infect Dis 1995;20:136–142.CrossRefGoogle Scholar
22. Tapper, ML. The Immunocompromised Host Society on tuberculosis. IMS News 1994;3:14–15.Google Scholar
23. Koch-Weser, D. BCG vaccination. Can it contribute to tuberculosis control? Chest 1993;103:1641–1642.CrossRefGoogle ScholarPubMed
24. Centers for Disease Control and Prevention. The role of BCG vaccine in the prevention and control of tuberculosis in the United States. MMWR 1996;45(RR-4):1–18.Google Scholar
25. Centers for Disease Control. BCG vaccines. MMWR 1979;21:241–244.Google Scholar