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Albuquerque T, Isaakidis P, Das M, et al. Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India. Public Health Action. 2014;4(1):35-41doi: 10.5588/pha.13.0096.
Albuquerque, T., Isaakidis, P., Das, M., Saranchuk, P., Andries, A., Misquita, D. P., Khan, S., Dubois, S., Peskett, C., & Browne, M. (2014). Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India. Public health action, 4(1), 35-41. https://doi.org/10.5588/pha.13.0096
Albuquerque, T, et al. "Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India." Public health action vol. 4,1 (2014): 35-41. doi: https://doi.org/10.5588/pha.13.0096
Albuquerque T, Isaakidis P, Das M, Saranchuk P, Andries A, Misquita DP, Khan S, Dubois S, Peskett C, Browne M. Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India. Public Health Action. 2014 Mar 21;4(1):35-41. doi: 10.5588/pha.13.0096. PMID: 26423759; PMCID: PMC4479090.
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Public Health Action. 2014 Mar 21;4(1):35-41. doi: 10.5588/pha.13.0096.

Infection control in households of drug-resistant tuberculosis patients co-infected with HIV in Mumbai, India.

Public health action

T Albuquerque, P Isaakidis, M Das, P Saranchuk, A Andries, D P Misquita, S Khan, S Dubois, C Peskett, M Browne

Affiliations

  1. Médecins Sans Frontières, Mumbai, India.
  2. Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa.
  3. School of Health System Studies, Tata Institute of Social Sciences, Mumbai, India.

PMID: 26423759 PMCID: PMC4479090 DOI: 10.5588/pha.13.0096

Abstract

BACKGROUND: Mumbai has a population of 21 million, and an increasingly recognised epidemic of drug-resistant tuberculosis (DR-TB).

OBJECTIVE: To describe TB infection control (IC) measures implemented in households of DR-TB patients co-infected with the human immunodeficiency virus (HIV) under a Médecins Sans Frontières programme.

METHODS: IC assessments were carried out in patient households between May 2012 and March 2013. A simplified, standardised assessment tool was utilised to assess the risk of TB transmission and guide interventions. Administrative, environmental and personal protective measures were tailored to patient needs.

RESULTS: IC assessments were carried out in 29 houses. Measures included health education, segregating sleeping areas of patients, improving natural ventilation by opening windows, removing curtains and obstacles to air flow, installing fans and air extractors and providing surgical masks to patients for limited periods. Environmental interventions were carried out in 22 houses.

CONCLUSIONS: TB IC could be a beneficial component of a comprehensive TB and HIV care programme in households and communities. Although particularly challenging in slum settings, IC measures that are feasible, affordable and acceptable can be implemented in such settings using simplified and standardised tools. Appropriate IC interventions at household level may prevent new cases of DR-TB, especially in households of patients with a lower chance of cure.

Keywords: HIV; Mumbai; drug-resistant tuberculosis; infection control; slums

References

  1. PLoS One. 2011;6(12):e28066 - PubMed
  2. J Adv Nurs. 2012 Nov;68(11):2399-409 - PubMed
  3. Am J Respir Crit Care Med. 2012 May 15;185(10):1104-9 - PubMed
  4. PLoS Med. 2007 Feb;4(2):e68 - PubMed
  5. PLoS One. 2012;7(1):e29589 - PubMed
  6. East Mediterr Health J. 2009 May-Jun;15(3):494-503 - PubMed
  7. BMC Infect Dis. 2009 Jun 11;9:91 - PubMed
  8. Zhonghua Liu Xing Bing Xue Za Zhi. 2008 Jul;29(7):693-5 - PubMed
  9. Int J Tuberc Lung Dis. 2002 Mar;6(3):266-9 - PubMed
  10. Int J Tuberc Lung Dis. 2007 Jun;11(6):593-605 - PubMed
  11. PLoS One. 2012;7(7):e40781 - PubMed
  12. Int J Tuberc Lung Dis. 2013 Jun;17(6):764-70 - PubMed
  13. Eur Respir J. 2011 Sep;38(3):516-28 - PubMed
  14. Soc Sci Med. 1998 Mar;46(6):673-81 - PubMed
  15. Soc Sci Med. 2009 Jun;68(12):2240-6 - PubMed
  16. PLoS One. 2011;6(7):e22500 - PubMed
  17. Braz J Infect Dis. 2004 Dec;8(6):424-30 - PubMed
  18. BMC Public Health. 2011 Apr 25;11:262 - PubMed
  19. PLoS Med. 2012;9(8):e1001300 - PubMed
  20. BMC Infect Dis. 2010 Oct 28;10:313 - PubMed

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