PERSONAL RESPIRATORY PROTECTION AGAINST MYCOBACTERIUM TUBERCULOSIS - 10/09/11

Doi : 10.1016/S0272-5231(05)70352-X

Kevin P. Fennelly, MD, MPH ^{^{*
From the Section of Occupational and Environmental Medicine, Division of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine; and the Division of Pulmonary Sciences and Critical Care Medicine, Departments of Medicine and Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, Colorado}}

Résumé

This article is intended to provide practicing clinicians an overview of personal respiratory protection, with a focus on the use of respirators for protection against Mycobacterium tuberculosis (TB). The use of personal respirators is the most controversial component of the recent “Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Facilities, 1994” from the Centers for Disease Control and Prevention (CDC).^{14 CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994 MMWR 1994 ; 43 (RR-13) :

Cliquez ici pour aller à la section Références} I present the theoretical bases for the use of personal respiratory protection for the prevention of occupational tuberculosis—i.e., tuberculosis acquired in the work place by health care workers (HCWs). I discuss the advantages and disadvantages of various types of respirators, the limitations of the use of respirators in health care settings, and current regulatory issues regarding respirators and tuberculosis. Finally, I suggest a practical approach to the use of respirators in a health care setting.

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Plan

Address reprint requests to Kevin P. Fennelly, MD, MPH, Section of Occupational and Environmental Medicine, Division of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine, 1400 Jackson Street, Denver, CO 80206
This work was supported by Cooperative Agreement #U50/CCU810073-03 from the National Institute of Occupational Safety and Health, Centers for Disease Control and Prevention. The opinions expressed are those of the author alone and do not reflect official policy of the National Jewish Center for Immunology and Respiratory Medicine, the National Institute of Occupational Safety and Health, the Centers for Disease Control and Prevention, or any other organization.