Tuberculosis risk in the hospital dental practice.
Tuberculosis risk in the hospital dental practice.
复制标题
DOI：
10.1111/j.1754-4505.1995.tb00476.x
复制
发表时间：
1995-03-01
期刊：
影响因子：
--
通讯作者：
Rutkauskas, J S
中科院分区：
文献类型：
--
作者：
Harlow, R F;Rutkauskas, J S
结核病已重新成为一个严重的公共卫生问题。耐多药菌株和高风险群体数量的增加对卫生保健提供者构成了一个难题。结核病在医院牙科诊所传播的风险正在潜在地增加。向美国医院牙医协会的会员邮寄了一份包含20个问题的调查问卷，涉及与结核病有关的各种问题。对132份调查进行了分析。12%的答复者报告说，在过去一年中，他们所在机构的牙科服务提供者至少进行了一次结核病皮肤试验。五个答复者报告有一名牙医通过与病人接触感染结核病。报告口腔结核21例。超过34%的国家报告说，活动性结核病患者没有被隔离到负压隔离室，45%的国家报告说，允许患者经常出入公共场所，只有59%的国家认为，药物依从性监测是充分的。超过86%的人支持在医院牙科诊所进行结核病筛查。结论是，医院牙科诊所的工作人员暴露于结核病的风险可能增加。牙科医生必须严格预防结核病，并对高危患者采取细致的转诊和随访程序。
Tuberculosis has re-emerged as a serious public health concern. Multidrug-resistant strains and an increase in the number of high-risk groups are posing a difficult problem for health care providers. The risk of TB transmission in hospital dental practices is potentially increasing. A 20-question survey was mailed to the membership of the American Association of Hospital Dentists, addressing various issues relating to tuberculosis. One hundred thirty-two surveys were analyzed. Twelve per cent of respondents reported at least one TB skin test conversion by a dental provider within the past year at their institution. Five respondents reported one dental provider contracting TB through patient contact. Oral TB was reported in 21 cases. Over 34% reported that active TB patients are not isolated to negative-pressure isolation rooms, 45% reported that patients are allowed to frequent public areas, and only 59% believed that drug compliance monitoring was adequate. Over 86% support TB screening in the Hospital Dental Practice. It was concluded that Hospital Dental Practice personnel may be at increased risk for exposure to TB. Dental providers must exercise strict TB prevention and employ meticulous referral and follow-up procedures for high-risk patients.