Annals of Emergency Medicine
Volume 26, Issue 3 , Pages 290-295 , September 1995

Delayed Recognition and Infection Control for Tuberculosis Patients in the Emergency Department

Presented at the Society for Academic Emergency Medicine Annual Meeting, San Francisco, May 1993.

Received 14 October 1994 ,Revised 20 February 1995 ,Accepted 6 March 1995.

References 

  1. Centers for Disease Control and Prevention . Expanded tuberculosis surveillance and tuberculosis morbidity—United States, 1993. MMWR. 1994;43:361–366
  2. Centers for Disease Control . Prevention and control of tuberculosis in US communities with at-risk minority populations: Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR. 1992;41:1–11
  3. Baker DW, Stevens CD, Brook RH. Regular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department. JAMA. 1994;271:1909–1912
  4. Pearson ML, Jereb JA, Frieden TR, et al.  Nosocomial transmission of multidrug-resistant Mycobacterium tuberculosis. Ann Intern Med. 1992;117:191–196
  5. Edlin BR, Tokars JI, Grieco MH, et al.  An outbreak of multidrug-resistant tuberculosis among hospitalized patients with the acquired immunodeficiency syndrome. N Engl J Med. 1992;326:1514–1521
  6. Centers for Disease Control . Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994. MMWR. 1994;43:1–132
  7. Centers for Disease Control . Nosocomial transmission of multidrug-resistant tuberculosis to health-care workers and HIV-infected patients in an urban hospital—Florida. MMWR. 1990;39:718–722
  8. Beck-Sagué C, Dooley SW, Hutton MD, et al.  Hospital outbreak of multidrug-resistant Mycobacterium tuberculosis infections. JAMA. 1992;268:1280–1286
  9. Sepkowitz KA. Tuberculosis and the health care worker: A historical perspective. Ann Intern Med. 1994;120:71–79
  10. Centers for Disease Control . Nosocomial transmission of multidrug-resistant tuberculosis among HIV-infected persons—Florida and New York, 1988-1991. MMWR. 1991;40:585–591
  11. Haley CE, McDonald RC, Rossi L, et al.  Tuberculosis epidemic among hospital personnel. Infect Control Hosp Epidemiol. 1989;l0:204–210
  12. Sokolove PE, Mackey D, Wiles J, et al.  Exposure of emergency department personnel to tuberculosis: PPD testing during an epidemic in the community. Ann Emerg Med. 1994;24:418–421
  13. US General Accounting Office . Emergency departments unevenly affected by growth and change in patient use. Report to the Chairman, Subcommittee on Health for Families and the Uninsured, Committee on Finance, US Senate GAO/HRD-93-4 In: January 1993;p. 6
  14. Centers for Disease Control and Prevention: . Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994: Notice. Federal Register. 1994;59:5246–5303
  15. American Thoracic Society . Control of tuberculosis in the United States. Am Rev Respir Dis. 1992;146:1623–1633
  16. Barnes PF, Bloch AB, Davidson PT, et al.  Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med. 1991;324:1644–1650
  17. Moran GJ, Talan DA, Jarvis WR, et al.  Tuberculosis infection-control practices in United States emergency departments. Ann Emerg Med. 1995;26:283–289

☆ From the Departments of Emergency Medicine* and Infectious Disease‡, Olive View-UCLA Medical Center, Sylmar, California; and the Department of Emergency Medicine, UCLA Medical Center, Los Angeles, California.§

☆☆ Supported entirely by funds from the Department of Emergency Medicine, at Olive View-UCLA Medical Center.

★ Address for reprints: David A Talan, MD, FACEP, Department of Emergency Medicine, Room 2A208, Olive View–UCLA Medical Center, 14445 Olive View Drive, Sylmar, California 91342, 818-364-3107, Fax 818-364-3268

★★ Reprint no. 47/1/66634

PII: S0196-0644(95)70074-9

Annals of Emergency Medicine
Volume 26, Issue 3 , Pages 290-295 , September 1995

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