Yale University

Transmission of drug-susceptible and drug-resistant tuberculosis and the critical importance of airborne infection control in the era of HIV infection and highly active antiretroviral therapy rollouts.

TitleTransmission of drug-susceptible and drug-resistant tuberculosis and the critical importance of airborne infection control in the era of HIV infection and highly active antiretroviral therapy rollouts.
Publication TypeJournal Article
Year of Publication2010
AuthorsShenoi, Sheela V., Roderick A. Escombe, and Gerald Friedland
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America
Volume50 Suppl 3
PaginationS231-7
Date Published2010 May 15
ISSN1537-6591
KeywordsAIDS-Related Opportunistic Infections, Air Microbiology, Antiretroviral Therapy, Highly Active, Cross Infection, HIV Infections, Humans, Infection Control, Tuberculosis
AbstractComprehensive and successful tuberculosis (TB) care and treatment must incorporate effective airborne infection-control strategies. This is particularly and critically important for health care workers and all persons with or at risk of human immunodeficiency virus (HIV) infection. Past and current outbreaks and epidemics of drug-susceptible, multidrug-resistant, and extensively drug-resistant TB have been fueled by HIV infection, with high rates of morbidity and mortality and linked to the absence or limited application of airborne infection-control strategies in both resource-rich and resource-limited settings. Airborne infection-control strategies are available--grouped into administrative, environmental, and personal protection categories--and have been shown to be associated with decreases in nosocomial transmission of TB; their efficacy has not been fully demonstrated, and their implementation is extremely limited, particularly in resource-limited settings. New research and resources are required to fully realize the potential benefits of infection control in the era of TB and HIV epidemics.
DOI10.1086/651496
Alternate JournalClin. Infect. Dis.

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