Recommendations for Preventing the Transmission of Mycobacterium Tuberculosis at Chiang Rai Hospital, Thailand.

Details

• Personal Author:
  Binkin NJ ; Garrett DO ; Jarvis WR ; Jensen PA ; Zuber PA
• Description:
  Due to concern about possible nosocomial/occupational transmission of Mycobacterium-tuberculosis in hospitals in developing countries, a joint activity was begun to develop methods to control occupational exposure among health care workers (HCWs) at the Chiang Rai Hospital, Thailand. A survey was conducted to assess the facilities, and recommendations for preventing transmission of M- tuberculosis were developed. Continuous management was discussed as a method to assess the effectiveness of the infection control program in an area with a high incidence of tuberculosis. The recommended measures for M-tuberculosis infection control focused on three areas: hospital employees; patients; and environmental or engineering interventions. For hospital employees, recommended interventions included worker training and education, tuberculin skin testing, prevention of active tuberculosis, and personal respiratory protection. Recommended interventions for patients included identification of infectious tuberculosis patients, management of suspected tuberculosis patients, diagnostic evaluation, management of confirmed cases, and patient training and education. Specific engineering control measures were recommended for each area of the hospital, including general ventilation, exhaust ventilation, and air cleaning.
• Subjects:
  Accidents, Occupational Air Pollutants, Occupational Air Pollution, Indoor Dust Environmental Monitoring Health Surveys Metal Workers Noise Occupational Health Preceptorship Safety Surveys And Questionnaires

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• Keywords:
  Bacterial-infections Control-technology Disease-transmission Field-Study Health-care-personnel Infection-control Medical-facilities NIOSH-Author NIOSH-Survey Occupational-medicine Risk-factors

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• DOI:
  https://doi.org/10.26616/NIOSHECTB20711
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Studies ; Control Technology
• Place as Subject:
  Georgia ; Ohio ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DPSE - Division of Physical Sciences and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-35
• NIOSHTIC Number:
  nn:00237079
• Citation:
  Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, ECTB 207-11, 1997 Mar; :1-35
• Federal Fiscal Year:
  1997
• Peer Reviewed:
  False
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:efd6b14f96a48adb8efc46848f5366a9c72f1bb75bbe9dc9ce7fb503776cbde69514b045f2f4e86dd833a2bd57df6109910857fa7c67e9521776b59b99402779
• Download URL:
  https://stacks.cdc.gov/view/cdc/180970/cdc_180970_DS1.pdf
• File Type:
  [PDF - 4.42 MB ]