Multidrug resistant tuberculosis among health personnel in Côte d'Ivoire

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UNLABELLED: Multidrug resistance tuberculosis (MDR-TB) of health workers raises the question of hospital-borne transmission of infection.

OBSERVATIONS: We report 4 cases of MDR-TB confirmed at the health workers over a period of 8 years (January, 2005 to December 2012), in the 2 services of pulmonology from Abidjan to Côte d'Ivoire). It was about young grown-up patients (aged between 28 and 39 years), all HIV negatives, in a no-win situation of antituberculosis treatment (3 patients/4). The most concerned staffs were the male nurses (2/4). Two agents worked in general hospital and the only one in a pulmonology department at the time of the diagnosis. The tuberculosis was of lung seat with bilateral radiographic hurt (3/4) and multiples excavations (4/4). The case index, when it was identified (2/2), was a family case. Among 3 agents who benefited from a second line treatment, 1 died further to an extensive drug resistance and 2 are declared to be cured. The fourth died before the beginning of the treatment. These cases of cure were in touch with a premature care.

CONCLUSION: Multidrug resistant tuberculosis at the health workers could have a negative impact on the antituberculosis fight imposing rigorous measures of infection control and better implication of the occupational medicine.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Revue de pneumologie clinique - 72(2016), 2 vom: 07. Apr., Seite 142-6

Sprache:

Französisch

Weiterer Titel:

Tuberculose multirésistante chez le personnel de santé en Côte d'Ivoire

Beteiligte Personen:

Bakayoko, A S [VerfasserIn]
Ahui, B J M [VerfasserIn]
Nguessan, R [VerfasserIn]
Kone, A [VerfasserIn]
Kone, Z [VerfasserIn]
Daix, A T [VerfasserIn]
Badoum, G [VerfasserIn]
Adou, G [VerfasserIn]
Kouakou, O A [VerfasserIn]
Kouakou, J [VerfasserIn]
Coulibaly, G [VerfasserIn]
Domoua, K [VerfasserIn]
Aka-Danguy, E [VerfasserIn]

Links:

Volltext

Themen:

Adult
Adultes
Antibiotiques antituberculeux
Antitubercular Agents
Antituberculosis agents
Case Reports
Hospital personnel
Infection control
Journal Article
Lutte contre l’infection
Multidrug resistant tuberculosis
Personnel hospitalier
Tuberculose multirésistante

Anmerkungen:

Date Completed 09.01.2017

Date Revised 10.01.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.pneumo.2015.09.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM255419953