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Infection control issues in tuberculosis

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Tuberculosis

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Abstract

The recent resurgence of tuberculosis (TB) has provoked a crisis in which the modern health care system is being forced to reassess the efficacy of many of its traditional TB control measures. Economic factors such as the decline of US federal funds for TB control projects from $20 million in 1969 to $1 million in 1982 [1] no doubt aggravated the problem. It is time to return to vigilance in the use of prudent infection control methodology. To quote Dr Michael Iseman from a recent perspective regarding the transmission of TB:

Existentialist Soren Kierkegaard, confronted with the unprovable in his quest for philosophical understanding concluded that to survive in a threatening world one might have to suspend one’s critical nature and simply affirm. On a grand scale, we in medicine are sometimes confronted with imminent problems for which minimal or imperfect data exists to guide us in seeking solutions. Classically, in the scientific model wherein we deal with material matters, we have been taught to defer action until we can conduct studies that document the preferable pathway. Unfortunately, we are currently encountering an urgent problem for which an ideal data set and a rapid scientific resolution are not available: the intra-institutional transmission of tuberculosis to patients, health care workers and staff [2].

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References

  1. Reichman, L.B. (1991) The U-shaped curve of concern. Am Rev Respir Dis, 144, 741–2.

    CAS  PubMed  Google Scholar 

  2. Iseman, M.D. (1992) A leap of faith. What can we do to curtail intrainstitu-tional transmission of tuberculosis. Ann Intern Med, 117, 251–3.

    CAS  PubMed  Google Scholar 

  3. Murray, J.F. (1989) The white plague: down and out, or up and coming? Am Rev Respir Dis, 140, 1788–95.

    CAS  PubMed  Google Scholar 

  4. World Health Organization (1992) Tuberculosis control and research strategies for the 1990s: Memorandum from a WHO Meeting. Bull WHO, 70, 17–21.

    Google Scholar 

  5. American Thoracic Society (1992) Control of tuberculosis in the United States. Am Rev Respir Dis, 146, 1623–33.

    Google Scholar 

  6. World Health Organization (1982) Tuberculosis control. Report of a Joint IUAT/WHO Study Group. WHO Technical Report Series, No. 671.

    Google Scholar 

  7. Craven, R.B., Wenzel, R.P. and Atuk, N.O. (1975) Minimizing tuberculosis risk to hospital personnel and students exposed to unsuspected disease. Ann Intern Med, 82, 628–32.

    CAS  PubMed  Google Scholar 

  8. Kantor, H.S., Poblete, R. and Pusateri, S.L. (1988) Nosocomial transmission of tuberculosis from unsuspected disease. Am J Med, 84, 833–8.

    CAS  PubMed  Google Scholar 

  9. Subcommittee of the Joint Tuberculosis Committee of the British Thoracic Society (1990) Control and prevention of tuberculosis in Britain: an updated code of practice. Brit Med J, 300, 995–7.

    Google Scholar 

  10. Advisory Council for the Elimination of Tuberculosis (1992) Prevention and control of tuberculosis among homeless persons. MMWR, 41 (RR-5), 13–23.

    Google Scholar 

  11. Advisory Council for the Elimination of Tuberculosis (1992) Prevention and control of tuberculosis in U.S. communities with at-risk minority populations. MMWR, 41 (RR-5), 1–12.

    Google Scholar 

  12. Barnes, P.F., Verdegen, T.D., Vachon, L.A. et al. (1988) Chest roentgenograms in pulmonary tuberculosis. New data on an old test. Chest, 94, 316–20.

    CAS  PubMed  Google Scholar 

  13. Halperin, S.A. and Langley, J.M. (1992) Evaluation of a tuberculosis screening program at a children’s hospital. Am J Infect Cont, 20, 19–23.

    CAS  Google Scholar 

  14. Loudon, R.G. and Spohn, S.K. (1969) Cough frequency and infectivity in patients with pulmonary tuberculosis. Am Rev Respir Dis, 99, 109–11.

    CAS  PubMed  Google Scholar 

  15. Nakielna, E.M., Cragg, R. and Grzybowski, S. (1975) Lifelong follow-up of inactive tuberculosis: its value and limitation. Am Rev Respir Dis, 112, 765–72.

    CAS  PubMed  Google Scholar 

  16. Wells, W.F. (1934) On airborne infection. II. Droplets and droplet nuclei. Am J Hyg, 20, 611–8.

    Google Scholar 

  17. Duguid, J.P. (1946) Expulsion of pathogenic organisms from the respiratory tract. Brit Med J, 1, 265–8.

    Google Scholar 

  18. Chapman, J.S. and Dyerly, M.D. (1964) Presumably infected premises with respect to conversion of the tuberculin test. Am Rev Respir Dis, 89, 197–9.

    CAS  PubMed  Google Scholar 

  19. Riley, R.L. (1982) Disease transmission and contagion control. Am Rev Respir Dis, 125 (Supplement), 16–19.

    CAS  PubMed  Google Scholar 

  20. Chan, J., Otten, J. and Cleary T. (1992) Successful Control of an Outbreak of Multidrug-resistant Tuberculosis in an Urban Teaching Hospital. Interscience Conference on Antimicrobial Agents and Chemotherapy, Anaheim, CA, American Society for Microbiology.

    Google Scholar 

  21. American Society of Heating, Refrigerating and Air Conditioning Engineers (1987) 1987 ASHRAE Handbook: Heating, Ventilating and Air-conditioning Systems and Applications, American Society of Heating, Refrigerating and Air Conditioning Engineers, Atlanta, GA, 23.1–23.12.

    Google Scholar 

  22. Health Resources and Services Administration (1984) Guidelines for Construction and Equipment of Hospital and Medical Facilities. U.S. Department of Health and Human Services, Public Health Service, Rockville, MD, PHS publication no. HRSA 84–14500.

    Google Scholar 

  23. Centers for Disease Control (1990) Guidelines for preventing the transmission of tuberculosis in health-care settings, with special focus on HIV-related issues. MMWR, 39 (RR-17), 1–29.

    Google Scholar 

  24. California Indoor Quality Program (1990) Using Ultraviolet Radiation and Ventilation to Control Tuberculosis. Air and Industrial Hygiene Laboratory and Tuberculosis Control and Refugee Health Programs Unit, Berkeley, CA, pp. 1–18.

    Google Scholar 

  25. Rudnick, J., Kroc, K., Manangan, L. et al. (1993) How Prepared are U.S. Hospitals to Control Nosocomial Transmission of Tuberculosis? Society of Hospital Epidemiologists of America, Chicago, IL.

    Google Scholar 

  26. Ehrenkranz, N.J. and Kicklighter, J.L. (1982) Tuberculosis outbreak in a general hospital: evidence for airborne spread of tuberculosis. Ann Intern Med, 77, 377–82.

    Google Scholar 

  27. Haley, C.E., McDonald, R.C., Rossi, L. et al. (1989) Tuberculosis epidemic among hospital personnel. Infect Control Hosp Epidemiol, 10, 204–10.

    CAS  PubMed  Google Scholar 

  28. Hutton, M.D., Stead, W.W., Cauthen, G.M. et al. (1990) Nosocomial transmission of tuberculosis associated with a draining tuberculous abscess. J Infect Dis, 161, 286–95.

    CAS  PubMed  Google Scholar 

  29. Lundgren, R., Norrman, E. and Asberg, I. (1987) Tuberculosis infection transmitted at autopsy. Tubercle, 68,147–50.

    CAS  PubMed  Google Scholar 

  30. Centers for Disease Control (1989) Mycobacterium tuberculosis transmission in a health clinic — Florida. MMWR, 38, 256–64.

    Google Scholar 

  31. Adler, JJ. (1993) Hospital-acquired tuberculosis: addressing the challenge. Hosp Pract, 28(9), 109–16, 120.

    CAS  Google Scholar 

  32. Sheretz, R.J., Belani, A., Kramer, B.S. et al (1987) Impact of air filtration on nosocomial Aspergillus infection. Am J Med, 83, 709–18.

    Google Scholar 

  33. Woods, J.E. and Rask, D.R. (1988) Heating, ventilation, air-conditioning systems: the engineering aproach to methods of control, in Architectural Design and Indoor Microbial Pollution (ed. R.B. Kundsin), Oxford University Press, New York, pp. 123–53.

    Google Scholar 

  34. Wells, W.F. and Fair, G.M. (1935) Viability of E. coli exposed to ultraviolet radiation in air. Science, 82, 280–1.

    CAS  PubMed  Google Scholar 

  35. Riley, R.L. and Nardell, E.A. (1989) Clearing the air. The theory and application of ultraviolet air disinfection. Am Rev Respir Dis, 139, 1286–94.

    CAS  PubMed  Google Scholar 

  36. Riley R.L. and Kaufman, J.E. (1972) Effect of relative humidity on the inacti-vation of airborne Serratia marcescens by ultraviolet radiation. Appl. Environ Microbiol, 23, 1113–20.

    CAS  Google Scholar 

  37. Riley, R.L., Mills, C.C., O’Grady, F. et al. (1962) Infectiousness of air from a tuberculosis ward. Ultraviolet irradiation of infected air: comparative infectiousness of different patients. Am Rev Respir Dis, 85, 511–25.

    CAS  PubMed  Google Scholar 

  38. Riley, R.L., Knight, M. and Middlebrook, G. (1976) Ultraviolet susceptibility of BCG and virulent tubercle bacilli. Am Rev Respir Dis, 113, 413–18.

    CAS  PubMed  Google Scholar 

  39. Macher, J.M., Alevantis, L.E., Chang, Y.-L. and Liu, K.-S. (1992) Effect of ultraviolet germicidal lamps on airborne microorganisms in an outpatient washing room. Appl. Occup Environ Hyg, 7, 505–13.

    CAS  Google Scholar 

  40. American Thoracic Society/Centers for Disease Control (1990) Diagnostic standards and classification of tuberculosis. Am Rev Respir Dis, 142, 725–35.

    Google Scholar 

  41. International Agency for Research on Cancer (1992) I ARC Monographs on the Evaluation of Carcinogenic Risks for Humans: Solar and Ultraviolet Radiation, Volume 55, World Health Organization, Lyons, France.

    Google Scholar 

  42. Valerie, K., Delers, A., Brück, C. et al (1988) Activation of human immunodeficiency virus type 1 by DNA damage in human cells. Nature, 333, 78–81.

    CAS  PubMed  Google Scholar 

  43. Pippin, D.J., Verderame, R.A. and Weber, K.K. (1987) Efficacy of face masks in preventing inhalation of airborne contaminants. J Oral Maxillofac Surg, 45, 319–23.

    CAS  PubMed  Google Scholar 

  44. National Institute for Occupational Safety and Health (1987) Guide to Industrial Respiratory Protection, U.S. Department of Health and Human Service (NIOSH) Publication, 70, pp. 87–116.

    Google Scholar 

  45. Hutton, M.D. (1992) What is a disposable particulate respirator? Am J Infect Cont, 20, 41.

    CAS  Google Scholar 

  46. Chen, S.K., Vesley, D., Brosseau, L.M. and Vincent, J.H. (1994) Evaluation of single-use masks and respirators for protection of health care workers against mycobacterial aerosols. Am J Infect Cont, 22, 65–74.

    CAS  Google Scholar 

  47. Gerberding, J.L. (1993) Occupational infectious diseases or infectious occupational diseases? Bridging the views on tuberculosis control. Infect Cont Hosp Epidemiol, 14, 686–8.

    CAS  Google Scholar 

  48. Occupational Safety and Health Administration 29CFR1910–134 (1994) Occupational Safety and Health Standards: Personal Protective Equipment, Respiratory Protection, Code of Federal Regulations, U.S. Government Printing Office, Washington, DC.

    Google Scholar 

  49. Rubin, J. (1991) Mycobacterial disinfection and control, in Disinfection, Sterilization and Preservation (ed. S.S. Block), Lea and Febiger, Malvern, PA, pp. 374–84.

    Google Scholar 

  50. Nelson, K.E., Larson, P.A., Schraufnagel, D.E. and Jackson, J. (1983) Transmission of tuberculosis by flexible fiberbronchoscopes. Am Rev Respir Dis, 127, 97–100.

    CAS  PubMed  Google Scholar 

  51. Leers, W.D. (1980) Disinfecting bronchoscopes: how not to transmit Mycobacterium tuberculosis by bronchoscopy. Can Med Assoc I, 123, 275–80.

    CAS  Google Scholar 

  52. Ayliffe, G.A.J. (1988) Equipment related infection risks. J Hosp Infect, 11(Suppl A), 279–84.

    PubMed  Google Scholar 

  53. Notlebart, H.C. (1980) Nosocomial infections acquired by hospital employees. Infect Control, 1, 257–9.

    Google Scholar 

  54. Centers for Disease Control (1983) Nontuberculous mycobacterial infections in hemodialysis patients -Louisiana. MMWR, 32, 244–6.

    Google Scholar 

  55. Chapnick, E.K., Lutwick, S.M. and Lutwick, L.I. (1993) Acid fast bacilli in bronchoalveolar lavage. Infect Med, 10, 7, 39.

    Google Scholar 

  56. Smith, CR. (1968) Mycobacteriocidal agents, in Disinfection, Sterilization and Preservation (eds C.A. Lawrence and S.S. Block), Lea and Febiger, Philadephia, PA, pp. 504–14.

    Google Scholar 

  57. Spaulding, E.H. (1964) Alcohol as a surgical disinfectant. Assoc Oper Rm Nurse J, 2, 67–71.

    Google Scholar 

  58. Lester, W. and Dunkin, E.W. (1955) Residual surface disinfection. J Infect Dis, 96, 40–53.

    CAS  PubMed  Google Scholar 

  59. Bergan, T. and Lystad, A. (1971) Antitubercular action of disinfectants. J Appl Bacteriol, 34, 751–6.

    CAS  PubMed  Google Scholar 

  60. Albert, M.E. and Levison, M.E. (1964) An epidemic of tuberculosis in a medical school. N Engl J Med, 111, 718–21.

    Google Scholar 

  61. Stonehill, A.A., Krop, S. and Borick, P.M. (1963) Buffered glutaraldehyde — a new chemical sterilizing solution. Am J Hosp Pharm, 20, 458–65.

    CAS  Google Scholar 

  62. Borick, P.M., Dondershine, F.H. and Chandler, V.I. (1964) Alkalinized glutaraldehyde, a new antimicrobial agent. J Pharm Sci, 53, 1273–5.

    CAS  PubMed  Google Scholar 

  63. Ayon, A.T.R. and Cotton, P.B. (1983) Endoscopy and infection. Gut, 24, 1064–6.

    Google Scholar 

  64. Sumartojo, E. (1993) When tuberculosis treatment fails. A social behavioral account of patient adherence. Am Rev Respir Dis, 147, 1311–20.

    CAS  PubMed  Google Scholar 

  65. Snider, D.E. and Roper, W.L. (1992) The new tuberculosis. N Engl J Med, 326, 703–5.

    PubMed  Google Scholar 

  66. Brudney, K. and Dobkin, J. (1991) Resurgent tuberculosis in New York City. Am Rev Respir Dis, 144, 745–9.

    CAS  PubMed  Google Scholar 

  67. Wardman, A.G., Knox, A.J., Muers, M.F. and Page, R.L. (1988) Profiles of non-compliance with anti-tuberculous therapy. Brit J Dis Chest, 82, 285–9.

    CAS  PubMed  Google Scholar 

  68. Preston, D.F. and Miller F.L. (1964) The tuberculosis outpatient’s defection from therapy. Am J Med Sci, 247, 55–8.

    Google Scholar 

  69. Menzies, R., Rocher, I. and Vissandjee, B. (1993) Factors associated with compliance in the treatment of tuberculosis. Tubercle Lung Dis, 74, 32–7.

    CAS  Google Scholar 

  70. Rubel, A.J. and Garro, L.C (1992) Social and cultural factors in the successful control of tuberculosis. Pub Health Rep, 107, 626–36.

    CAS  Google Scholar 

  71. Mata, J.I. (1985) Integrating the client’s perspective in planning a tuberculosis education and treatment program in Honduras. Med Anthropol., Winter, 57–64.

    Google Scholar 

  72. Morisky, D.E., Malotte, CK., Choi, P. et al. (1990) A patient education program to improve adherence rates with antituberculous drug regimens. Health Educ Quart, 17,253–67.

    CAS  Google Scholar 

  73. Edwards, B.B. (1988) The breakfast club. Florida Nurse, 36, 9.

    CAS  PubMed  Google Scholar 

  74. Seetha, M.A., Srikantaramu, N., Aneja, K.S. and Singh, H. (1981) Influence of motivation of patients with their family members on the drug collection by patients. Indian J Tuberc, 28, 182–90.

    Google Scholar 

  75. Sanmarti, L.S., Meigias, J.A., Gomez, J.C. et al. (1993) Evaluation of the efficacy of health education on the compliance with antituberculosis chemo-prophylaxis in school children. A randomized clinical trial. Tubercle Lung Dis, 74, 28–31.

    Google Scholar 

  76. Valeza, F.S. and McDougall, A.C. (1990) Blister calender packs for treatment of tuberculosis. Lancet, 335, 473.

    CAS  PubMed  Google Scholar 

  77. Manalo, F., Tan, F., Sbarbaro, J.A. and Iseman, M.D. (1990) Community-based short-course treatment of pulmonary tuberculosis in a developing nation. Am Rev Respir Dis, 142, 1301–5.

    CAS  PubMed  Google Scholar 

  78. Wobeser, W., To, T. and Hoeppner, V.H. (1989) The outcome of chemo-prophylaxis on tuberculosis prevention in Canadian Plains Indians. Clin Invest Med, 12, 149–53.

    CAS  PubMed  Google Scholar 

  79. Nazar-Stewart, V. and Nolan, CM. (1992) Results of a directly observed intermittent isoniazid preventive therapy program in a shelter for homeless men. Am Rev Respir Dis, 146, 57–60.

    CAS  PubMed  Google Scholar 

  80. Williamson, D.E., Hammack, C and Burks, G. (1986) Effect of directly observed therapy with isoniazid and rifampin on 3 month sputum conversion in a Mississippi rural health district. Am Rev Respir Dis, 133, A205.

    Google Scholar 

  81. Weiss, S.E., Slocum, P.C., Biais, F.X. et al (1994) The effect of directly observed therapy on the rates of drug resistance and relapse in tuberculosis. N Engl J Med, 330, 1179–84.

    Google Scholar 

  82. Miles, S.H. and Maat, R.B. (1984) A successful supervised outpatient short-course tuberculosis treatment program in an open refugee camp on the Thai-Cambodian border. Am Rev Respir Dis, 130, 827–30.

    CAS  PubMed  Google Scholar 

  83. Curry, F.J. (1968) Neighborhood clinics for more effective outpatient treatment of tuberculosis. N Engl J Med, 279, 1262–7.

    CAS  PubMed  Google Scholar 

  84. Werhane, M.J., Snuket-Torbeck, G. and Schraufnagel, D.E. (1989) The tuberculosis clinic. Chest, 96, 815–18.

    CAS  PubMed  Google Scholar 

  85. McDonald, R.J., Memon, A.M. and Reichman, L.B. (1982) Successful supervised ambulatory management of tuberculosis treatment failures. Ann Intern Med, 96, 297–302.

    CAS  PubMed  Google Scholar 

  86. Kochi, A. (1991) The global tuberculosis situation and the new control strategy of the World Health Organization. Tubercle, 72, 1–6.

    CAS  PubMed  Google Scholar 

  87. Murray, G.D.L., Styblo, K. and Rouillon, A. (1990) Tuberculosis in developing countries: Burden, intervention and cost. Bull Int Union Tuberc, 65, 6–24.

    CAS  Google Scholar 

  88. Snider, D.E. (1989) Research towards global control and prevention of tuberculosis with emphasis on vaccine development — introduction. Rev Infect Dis, 2, S336–9.

    Google Scholar 

  89. Rubel, A.J. and Garro, L.C. (1992) Social and cultural factors in the successful control of tuberculosis. Pub Health Rep, 107, 626–36.

    CAS  Google Scholar 

  90. Styblo, K. (1989) Overview and epidemiologic assessment of the current global tuberculosis situation with an emphasis on control in the developing countries. Rev Infect Dis, 11, S339–46.

    Google Scholar 

  91. Murray, C.J.L., DeJonghe, E., Chum, H.J. et al (1991) Cost effectiveness of chemotherapy for pulmonary tuberculosis in three sub-Saharan African countries. Lancet, 338, 1305–8.

    CAS  PubMed  Google Scholar 

  92. World Health Organization (1991) Proceedings of a WHO informal meeting. Development of guidelines for tuberculosis control in HIV epidemic countries/areas, 2–3 October 1989. WHO TUB Unit Publication, Geneva.

    Google Scholar 

  93. Pio, A. (1989) Impact of present control methods on the problem of tuberculosis. Rev Infect Dis, 11, S360–S365.

    Google Scholar 

  94. Luelmo, F. (1982) BCG vaccination. Am Rev Respir Dis, 125S, 70–2.

    CAS  PubMed  Google Scholar 

  95. Gheorghiu, M. (1990) The present and future role of BCG vaccine tuberculosis control. Biologicals, 18, 135–41.

    CAS  PubMed  Google Scholar 

  96. Fine, P.E.M. and Rodrigues, L.C. (1990) Modern vaccines: mycobacterial diseases. Lancet, 335, 1016–20.

    CAS  PubMed  Google Scholar 

  97. Fine, P.E.M. (1989) The BCG story: lessons from the past and implications for the future. Rev Infect Dis, 11, S353–59.

    Google Scholar 

  98. Centers for Disease Control (1988) Use of BCG vaccine in the control of tuberculosis. MMWR, 37,663–4, 669–75.

    Google Scholar 

  99. Clemons, J.D., Choung, J.J.H. and Feinstein, A.R. (1983) The BCG controversy. A methodological and statistical reappraisal. JAMA, 249, 2362–9.

    Google Scholar 

  100. Schwoebel, V., Hubert, B. and Grosset, J. (1994) Tuberculous meningitis in France in 1990: characteristics and impact of BCG vaccination. Tubercle Lung Dis, 75, 44–8.

    CAS  Google Scholar 

  101. Filho, V.W, deCastilho, E.A., Rodrigues, L.C. and Huttly, S.R.A. (1990) Effectiveness of BCG vaccination against tuberculosis meningitis: a case-control study in São Paulo, Brazil. Bull WHO, 68, 69–74.

    Google Scholar 

  102. Blin, P., Delolme, H.G., Heyraud, J.D. et al. (1986) Evaluation of the protective effect of BCG vaccination by a case-control study in Yaounde, Cameroon. Tubercle, 67, 283–8.

    CAS  PubMed  Google Scholar 

  103. Tuberculosis Prevention Trial (1979) Trial of BCG vaccines in South India for tuberculosis prevention. Indian J Med Res, 70, 349–63.

    Google Scholar 

  104. Pönnighaus, J.M., Fine, P.E.M., Sterne, J.A.C. et al (1992) Efficacy of BCG vaccine against leprosy and tuberculosis in northern Malawi. Lancet, 339, 636–9.

    PubMed  Google Scholar 

  105. Colditz, G.A., Brewer, T.F., Berkey, C.S. et al. (1994) Efficacy of BCG vaccine in the prevention of tuberculosis. Meta-analysis of the published literature. JAMA, 271, 698–702.

    CAS  PubMed  Google Scholar 

  106. Milstien, J.B. and Gibson, J.J. (1990) Quality control of BCG vaccine by WHO: a review of factors that may influence vaccine effectiveness and safety. Bull WHO, 58, 93–108.

    Google Scholar 

  107. Centers for Disease Control (1988) Use of BCG vaccines in the control of tuberculosis. MMWR, 37, 663–4, 669–74.

    Google Scholar 

  108. Megahed, G.M. and Mahmoud, M.E. (1986) Axillary lymphadenitis after BCG vaccination. Dev Biol Stand, 58, 337.

    Google Scholar 

  109. Linn, R., Klimberg, I.W. and Wajsman, Z. (1989) Persistent acid-fast bacilli following intravesical Bacillus Calmette-Guérin. J Urol, 141, 1197–8.

    CAS  PubMed  Google Scholar 

  110. Reynes, J., Perez, C., Lamaury, I. et al (1989) Bacille Calmette-Guérin adenitis 30 years after immunization in a patient with AIDS. J Infect Dis, 160, 727.

    CAS  PubMed  Google Scholar 

  111. Citron, J.M. (1993) BCG vaccination against tuberculosis: international perspectives. Brit Med J, 306, 222–3.

    CAS  PubMed  Google Scholar 

  112. Nettleman, M.D. (1993) Use of BCG Vaccine in Healthcare Workers: a Decision Analysis. Interscience Conference on Antimicrobial Agents and Chemotherapy, New Orleans, LA, American Society for Microbiology.

    Google Scholar 

  113. Bahr, G.M., Stanford, J.L., Rook, G.A.W, et al (1986) Two potential improvements to BCG and their effect on skin test reactivity in the Lebanon. Tubercle, 67, 205–18.

    CAS  PubMed  Google Scholar 

  114. Arruda, S., Bomfim, G., Knights, R. et al (1993) Cloning of an M. tuberculosis DNA fragment associated with entry and survival inside cells. Science, 261, 1454–7.

    CAS  PubMed  Google Scholar 

  115. Bretscher, P.A. (1992) A strategy to improve the efficacy of vaccination against tuberculosis and leprosy. Immunol Today, 13, 342–5.

    CAS  PubMed  Google Scholar 

  116. Centers for Disease Control (1990) Prevention and control of tuberculosis in facilities providing long-term care to the elderly. MMWR, 39 (RR-10), 7–20.

    Google Scholar 

  117. Centers for Disease Control (1992) Prevention and control of tuberculosis in migrant farm workers. MMWR, 41 (RR-10), 1–15.

    Google Scholar 

  118. Centers for Disease Control (1990) Tuberculosis among foreign-born persons entering the United States. MMWR, 39 (RR-18), 1–21.

    Google Scholar 

  119. Centers for Disease Control (1992) National action plan to combat multi-drug resistant tuberculosis. MMWR, 41 (RR-11), 5–48.

    Google Scholar 

  120. Centers for Disease Control (1989) A strategic plan for the elimination of tuberculosis in the United States. MMWR, 38 (S-3), 1–25.

    Google Scholar 

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Lutwick, S.M. (1995). Infection control issues in tuberculosis. In: Lutwick, L.I. (eds) Tuberculosis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2869-6_9

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  • DOI: https://doi.org/10.1007/978-1-4899-2869-6_9

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