[Tuberculosis infection control - recommendations of the DZK].

TY - JOUR

T1 - [Tuberculosis infection control - recommendations of the DZK].

AU - Ziegler, R

AU - Just, H-M

AU - Castell, S

AU - Diel, R

AU - Gastmeier, P

AU - Haas, W

AU - Hauer, B

AU - Loytved, G

AU - Mielke, M

AU - Moser, I

AU - Nienhaus, Albert

AU - Richter, E

AU - Rüden, H

AU - Rüsch-Gerdes, S

AU - Schaberg, T

AU - Wischnewski, N

AU - Loddenkemper, R

PY - 2012

Y1 - 2012

N2 - The epidemiological situation of tuberculosis (TB) in Germany has improved considerably during the past few years. However, those in unprotected contact with infectious tuberculosis patients frequently and/or over longer periods of time and/or intensively continue to have a higher risk for TB infection. Rapid diagnosis, prompt initiation of effective treatment, and adequate infection control measures are of particular importance to prevent infection. The present recommendations depict the essentials of infection control as well as specific measures in the hospital (isolation, criteria for its duration and technical requirements, types of respiratory protection, disinfection measures, waste disposal). The specific requirements for outpatients (medical practice), at home, for ambulance services, and in congregate settings, including prisons, are also addressed. Compared with the previous recommendations the pattern of respiratory protection measures has been simplified. As a rule, hospital staff and those visiting infectious tuberculosis patients are advised to wear respiratory protection that satisfies the criteria of FFP2-masks (DIN EN 149), while patients should wear mouth-nose protectors (surgical masks) in the presence of others and outside the isolation room. A detailed depiction of criteria for isolation and its duration in smear positive and only culturally confirmed pulmonary tuberculosis has been added.

AB - The epidemiological situation of tuberculosis (TB) in Germany has improved considerably during the past few years. However, those in unprotected contact with infectious tuberculosis patients frequently and/or over longer periods of time and/or intensively continue to have a higher risk for TB infection. Rapid diagnosis, prompt initiation of effective treatment, and adequate infection control measures are of particular importance to prevent infection. The present recommendations depict the essentials of infection control as well as specific measures in the hospital (isolation, criteria for its duration and technical requirements, types of respiratory protection, disinfection measures, waste disposal). The specific requirements for outpatients (medical practice), at home, for ambulance services, and in congregate settings, including prisons, are also addressed. Compared with the previous recommendations the pattern of respiratory protection measures has been simplified. As a rule, hospital staff and those visiting infectious tuberculosis patients are advised to wear respiratory protection that satisfies the criteria of FFP2-masks (DIN EN 149), while patients should wear mouth-nose protectors (surgical masks) in the presence of others and outside the isolation room. A detailed depiction of criteria for isolation and its duration in smear positive and only culturally confirmed pulmonary tuberculosis has been added.

KW - Germany

KW - Humans

KW - Practice Guidelines as Topic

KW - Disease Outbreaks/prevention & control/statistics & numerical data

KW - Cross Infection/epidemiology/prevention & control

KW - Population Surveillance/methods

KW - Tuberculosis/epidemiology/prevention & control

KW - Germany

KW - Humans

KW - Practice Guidelines as Topic

KW - Disease Outbreaks/prevention & control/statistics & numerical data

KW - Cross Infection/epidemiology/prevention & control

KW - Population Surveillance/methods

KW - Tuberculosis/epidemiology/prevention & control

M3 - SCORING: Zeitschriftenaufsatz

VL - 74

SP - 337

EP - 350

JO - GESUNDHEITSWESEN

JF - GESUNDHEITSWESEN

SN - 0941-3790

IS - 6

M1 - 6

ER -