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Tuberculosis |
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Tuberculosis (TB) outbreaks are likely to occur in healthcare facilities,
correctional institutions, homeless shelters, nursing homes, and residential
care facilities for AIDS patients.
There are numerous
solutions to reduce or eliminate the risks of contracting tuberculosis (TB) including the
implementation of an effective control program. Solutions that
may be helpful in preventing TB are early identification, isolation, and treatment of people
with TB, the use of engineering and administrative procedures, and the use of respiratory protection.
The following references aid in implementing controls associated with TB in
the workplace.
General
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Hospital.
OSHA eTool. Focuses on hazards and controls found in the hospital setting.
The following modules contain sections on tuberculosis:
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Medical and First Aid. OSHA Safety and Health Topics Page.
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Respiratory Protection.
OSHA Safety and Health Topics Page.
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Tuberculosis.
National Institute for Occupational Safety and Health (NIOSH) Topic Page.
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Biosafety. Centers for Disease Control and Prevention (CDC) Topic.
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TB
Guidelines. Centers for Disease Control and Prevention (CDC), Division
of Tuberculosis Elimination (DTBE). Provides a listing of major TB
guidelines.
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Treatment
of Tuberculosis. Centers for Disease
Control (CDC), Morbidity and Mortality
Weekly Report (MMWR) 52(RR11);1-77, (2003, June 20).
Provides recommendations intended to guide the treatment of
tuberculosis in settings where mycobacterial cultures, drug susceptibility
testing, radiographic facilities, and second-line drugs are routinely
available.
- Trends in Tuberculosis Morbidity.
Centers for Disease Control and Prevention (CDC), Morbidity and Mortality
Weekly Report (MMWR) 52(11);217-222, (2003, March 21).
- The
Role of BCG Vaccine in the Prevention and Control of Tuberculosis in the
United States. Centers for Disease Control and Prevention (CDC),
Morbidity and Mortality Weekly Report (MMWR) 45(RR4);1-18, (1996,
April 26). Also available as a 266 KB PDF, 27 pages.
- Protect
Yourself Against Tuberculosis - A Respiratory Protection Guide for Health
Care Workers. US Department of Health and Human Services (DHHS), National Institute for Occupational Safety and Health
(NIOSH) Publication No. 96-102, (1995, December).
- Essential Components of a Tuberculosis Prevention and Control Program
Recommendations of the Advisory Council for the Elimination of Tuberculosis.
Centers for Disease Control and Prevention (CDC), Morbidity and Mortality
Weekly Report (MMWR) 44(RR-11);1-16, (1995, September 8). Also available
as a 375 KB PDF,
15 pages. Provides a national standard by which policymakers, TB
control program managers, and others evaluating TB programs can assess
individual TB control programs.
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Tuberculosis Morbidity Among U.S.-Born and Foreign-Born Populations --
United States 2000.
Centers for Disease Control and Prevention (CDC), Morbidity and Mortality
Weekly Report (MMWR) 51(05);101-4, (2002, February 8).
Healthcare
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Guidelines for Preventing the Transmission of
Mycobacterium tuberculosis in Health Care Facilities, 2005.
Centers for Disease Control and Prevention (CDC), Morbidity and
Mortality Weekly Report (MMWR) 54(RR17);1-141, (2005, December 30).
Emphasizes the
importance of screening, training, and educating healthcare workers to
eliminate nosocomial transmission of M. tuberculosis.
- Treatment
of Tuberculosis.
Centers for Disease Control and Prevention (CDC), Morbidity and Mortality
Weekly Report (MMWR) 52(RR11);1-77, (2003, June 20). Provides recommendations intended to guide the treatment of tuberculosis in settings
where mycobacterial cultures, drug susceptibility testing, radiographic
facilities, and second-line drugs are routinely available.
- TB
Respiratory Protection Program In Health Care Facilities, Administrator's Guide.
US Department of Health and Human Services (DHHS), National Institute of
Occupational Safety and Health (NIOSH) Publication
No. 99-143, (1999, September). Also available as an 807 KB PDF, 120 pages.
Provides a sample program, and respirator inspection record.
- Healthcare Facilities.
OSHA Safety and Health Topics Page.
Correctional
Homeless
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Prevention
and Control of Tuberculosis among Homeless Persons.
Centers for Disease Control and Prevention (CDC) Morbidity and Mortality
Weekly Report (MMWR) 41(RR-5);001, (1992,
April 17). Contains a section on training and educating
public and private healthcare providers in prevention and control of
the disease.
Elderly
Human Immunodeficiency Virus (HIV)
- Notice
to Readers: Updated Guidelines for the Use of Rifamycins for the
Treatment of Tuberculosis Among HIV-Infected Patients Taking Protease
Inhibitors or Nonnucleoside Reverse Transcriptase Inhibitors.
Centers for Disease Control and Prevention (CDC), Morbidity and
Mortality Weekly Report (MMWR) 53(02);37, (2004, January 23).
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Prevention
and Treatment of Tuberculosis Among Patients Infected with Human
Immunodeficiency Virus: Principles of Therapy and Revised
Recommendations. Centers for Disease Control and Prevention (CDC),
Morbidity and Mortality Weekly Report (MMWR) 47(RR20);1-51, (1998, October 30).
Updates previous CDC recommendations for the diagnosis,
treatment, and prevention of tuberculosis among adults and children
co-infected with human immunodeficiency virus (HIV) in the United
States.
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Anergy Skin Testing and Preventive Therapy for HIV Infected Persons:
Revised Recommendations.
Centers for Disease Control and Prevention (CDC), Morbidity and Mortality
Weekly Report (MMWR) 46(RR15);1-10, (1997, September 5).
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