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Environmental control of tuberculosis: continuing controversy

S Segal-Maurer1, G E Kalkut

  • 1Department of Medicine, Montefiore Medical Center/North Central Bronx Hospital, New York.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|August 1, 1994
PubMed
Summary

Rising tuberculosis and multidrug-resistant tuberculosis necessitate improved infection control. This review guides the selection and application of environmental controls and personal protective devices to prevent disease spread in healthcare settings.

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Area of Science:

  • Public Health
  • Infectious Disease Control
  • Environmental Health

Background:

  • Increasing incidence of tuberculosis (TB) and multidrug-resistant tuberculosis (MDR-TB) globally.
  • Nosocomial outbreaks highlight the risk of TB transmission in healthcare settings.
  • Emerging regulations and controversies surrounding TB control measures.

Purpose of the Study:

  • To review the theoretical basis for selecting environmental control modalities and personal protective devices for TB prevention.
  • To provide practical guidance on implementing specific control techniques.
  • To suggest facility revisions for compliance with new TB control standards.

Main Methods:

  • Literature review of environmental control modalities (ventilation, air filtration, UV irradiation).

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  • Analysis of personal protective devices (PPE) for TB exposure.
  • Examination of existing regulations and their interpretation.
  • Synthesis of theoretical principles and practical applications.

    • Main Results:

    • Discussion of the efficacy of various environmental controls and PPE.
    • Identification of controversies and challenges in implementing TB control measures.
    • Recommendations for rational selection and application of control strategies.
    • Guidance on facility upgrades to meet updated standards.

    Conclusions:

    • Effective TB infection control requires a multi-faceted approach combining environmental modifications and PPE.
    • Understanding the principles behind control measures is crucial for rational selection.
    • Proactive facility assessment and upgrades are necessary for compliance and enhanced safety.