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Previous Volume 332:92-98 January 12, 1995 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The risk of tuberculosis among health care workers was substantial in the era before antibiotics¹ but declined rapidly after 1950 because of the lower incidence of the disease in the population and the advent of effective therapy. These changes resulted in the relaxation of infection-control practices in hospitals, if not outright neglect of such practices. Over the past decade, two factors have profoundly altered views about the risk of tuberculosis in health care workers. The first is the resurgence of the disease. Between 1985 and 1991, the incidence of all forms of tuberculosis increased by 24 to 34 percent in . . . [Full Text of this Article]

Estimates of the Risk of Tuberculous Disease

Estimates of the Risk of Tuberculous Infection

Reports of Nosocomial Transmission

Theoretical Basis for Nosocomial Transmission of Tuberculosis

Evidence in Support of Recommended Control Measures

Diagnosis and Therapy

Ventilation

Ultraviolet Light

Masks

Tuberculin Screening

Bacille Calmette–Guérin Vaccination

Effect of Measures to Control Infection

Conclusions

Recommendations

Source Information

From the Departments of Medicine, Epidemiology, and Biostatistics, McGill University, Montreal (D.M.); the Tuberculosis Services, Alberta Health, Edmonton (A.F.); the Department of Preventive Medicine and Biostatistics, University of Toronto, Toronto (L.Y.); and Vancouver General Hospital and the University of British Columbia, Vancouver (M.F.) — all in Canada.

Address reprint requests to Dr. Menzies at Montreal Chest Hospital, 3650 St. Urbain, Montreal, QC H2X 2P4, Canada.

References

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