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Transmission of HIV-Associated Tuberculosis to Healthcare Workers
Giovanni Di Perri, Gian Pietro Cadeo, Francesco Castelli, Rocco Micciolo, Sergio Bassetti, Franco Rubini, Angelo Cazzadori, Stefania Marocco, Antonio Carlotto, Teresa Adami, Sandro Vento, Marina Malena, Gian Piero Carosi, Ercole Concia and Dante Bassetti
Infection Control and Hospital Epidemiology
Vol. 14, No. 2 (Feb., 1993), pp. 67-72
Published by: Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
Stable URL: http://www.jstor.org/stable/30147163
Page Count: 6
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Objective: A retrospective investigation was made to compare the occupational risk of tuberculosis in personnel assisting human immunodeficiency virus (HIV)-infected and uninfected subjects with active tuberculosis. Design: We retrospectively reviewed 6 years of hospital activity in 3 units where HIV-infected patients with tuberculosis are hospitalized and in 2 units where non-HIV-infected tuberculosis patients are hospitalized. The risk of occupational tuberculosis in healthcare workers who assisted HIV-infected and non-HIV-infected patients with tuberculosis was investigated. Participants: The risk of occupational tuberculosis in healthcare workers was studied by considering the numbers of potential source cases (hospitalized patients with tuberculosis) in the two conditions investigated (HIV-positive and HIV-negative). Both potential source cases and cases of tuberculosis in healthcare workers had to be microbiologically proven in order to be considered. Results: Seven cases of tuberculosis occurred in persons who cared for 85 HIV-infected subjects with tuberculosis, while only 2 cases occurred in staff members who took care of 1,079 HIV-negative tuberculosis patients over the same period (relative risk = 44.4; 95% confidence interval = 8.5-438). Conclusions: Tuberculosis seems no longer to be a neglectable risk in healthcare workers assisting patients with HIV infection. Further study is urgently needed to see whether such unexpectedly high dissemination of tuberculosis also is demonstrable in the community.
Infection Control and Hospital Epidemiology © 1993 Cambridge University Press