ILO Home
Go to the home page
Site map | Contact us Franšais | Espa˝ol

CISDOC database

Document ID (ISN)77059
CIS number 01-1237
ISSN - Serial title 0098-7484 - Journal of the American Medical Association
Year 2000
Convention or series no.
Author(s) Johnson K.R., Braden C.R., Cairns K.L., Field K.W., Colombel A.C., Yang Z., Woodley C.L., Morlock G.P., Weber A.M., Boudreau A.Y., Bell T.A., Onorato I.M., Valway S.E., Stehr-Green P.A., Sepkowitz K.A.
Title Transmission of Mycobacterium tuberculosis from medical waste; Further adventures of the tubercle bacillus
Bibliographic information Oct. 2000, Vol.284, No.13, p.1683-1688; p.1701-1702. Illus. 40 ref.
Abstract Three cases of pulmonary tuberculosis (TB) were reported among workers at a medical waste treatment facility in 1997. The facility accepted contaminated medical waste where it was shredded, blown, compacted and finally deactivated. There was no previous documentation of Mycobacterium tuberculosis transmission as a result of processing medical waste. The three patient-workers' isolates had different DNA fingerprints. One worker had a multidrug-resistant tuberculosis. Equipment failures, insufficient employee training and respiratory protective equipment inadequacies were identified at the facility. It is concluded that the processing of contaminated medical waste resulted in transmission of M. tuberculosis to at least one medical waste treatment facility worker. The issue of the journal also contains an editorial article (by Sepkowitz K.A.) on the worldwide resurgence of TB.
Descriptors (primary) disposal of harmful waste; contagion; tuberculosis
Descriptors (secondary) analysis of accident causes; personal protective equipment; infection control
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Environmental pollution
Broad subject area(s) Biological hazards
Browse category(ies) Waste collection and disposal
Bacterial and parasitic diseases