[Tuberculosis and healthcare workers: Risk reduction and disease prevention in health care settings]

M De Laroche; D Abiteboul; M Aubier; I Lolom; G Pellissier; E Rouveix

doi:10.1016/j.revmed.2019.08.004

[Tuberculosis and healthcare workers: Risk reduction and disease prevention in health care settings]

Rev Med Interne. 2020 Feb;41(2):111-117. doi: 10.1016/j.revmed.2019.08.004. Epub 2019 Dec 27.

[Article in French]

Authors

M De Laroche¹, D Abiteboul², M Aubier³, I Lolom⁴, G Pellissier⁵, E Rouveix⁶

Affiliations

¹ Service de médecine interne, CHU d'Ambroise Paré, AP-HP, 92100 Boulogne, France; UFR Simone Veil - Santé, université de Versailles Saint-Quentin-en-Yvelines, 78000 Versailles, France.
² Groupe d'étude sur le risque d'exposition des soignants aux agents infectieux (GERES), UFR de médecine Bichat, 16, rue Henri-Huchard, 75018 Paris, France.
³ Faculté de médecine Paris Diderot,75013 Paris, France.
⁴ Groupe d'étude sur le risque d'exposition des soignants aux agents infectieux (GERES), UFR de médecine Bichat, 16, rue Henri-Huchard, 75018 Paris, France; UHLIN, hôpital Bichat, 75018 Paris, France.
⁵ Groupe d'étude sur le risque d'exposition des soignants aux agents infectieux (GERES), UFR de médecine Bichat, 16, rue Henri-Huchard, 75018 Paris, France. Electronic address: [email protected].
⁶ Service de médecine interne, CHU d'Ambroise Paré, AP-HP, 92100 Boulogne, France; UFR Simone Veil - Santé, université de Versailles Saint-Quentin-en-Yvelines, 78000 Versailles, France; Groupe d'étude sur le risque d'exposition des soignants aux agents infectieux (GERES), UFR de médecine Bichat, 16, rue Henri-Huchard, 75018 Paris, France.

PMID: 31889564
DOI: 10.1016/j.revmed.2019.08.004

Abstract

Tuberculosis is a human disease caused by Mycobacteriumtuberculosis, and transmitted by airborne pathway. Documented cases of tuberculosis infection in healthcare workers have been reported in both developed and developing countries. Early recognition of potentially infectious cases, immediate implementation of airborne precautions and prompt medical treatment of cases, are required to lower the risk of disease transmission. Molecular biology techniques allow earlier diagnosis. In the event of non-compliance with airborne precautions, the investigation will further have to establish exhaustive lists of potentially exposed healthcare workers and patients, looking for cases of latent tuberculosis infections whose treatment should help avoid active tuberculosis disease.

Keywords: Active tuberculosis disease; Airborne precautions; Healthcare workers; Infection tuberculeuse latente; Isolement air; Latent tuberculosis infection; Mycobacteriumtuberculosis; Personnel soignant; Tuberculose maladie.

Publication types

Review

MeSH terms

Cross Infection / diagnosis
Cross Infection / epidemiology
Cross Infection / prevention & control*
Delivery of Health Care / organization & administration*
Delivery of Health Care / standards
Diagnostic Techniques and Procedures / standards
Health Personnel* / organization & administration
Health Personnel* / statistics & numerical data
Humans
Infection Control* / organization & administration
Infection Control* / standards
Mass Screening / methods
Mass Screening / organization & administration
Mass Screening / standards
Occupational Exposure* / prevention & control
Occupational Exposure* / statistics & numerical data
Risk Reduction Behavior
Tuberculosis* / diagnosis
Tuberculosis* / epidemiology
Tuberculosis* / prevention & control
Tuberculosis* / transmission