Control and prevention of tuberculosis in the United Kingdom: Code of Practice 1994. Joint Tuberculosis Committee of the British Thoracic Society

Craig Skinner*, Peter Ormerod, Ian Campbell, Gordon Leitch, John Watson, Anne Cockcroft

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

99 Citations (Scopus)

Abstract

Background - The guidelines on control and prevention of tuberculosis in the United Kingdom have been reviewed and updated. Methods - A subcommittee was appointed by the Joint Tuberculosis Committee (JTC). Each member ofthis group drafted one or more sections ofthe guidelines, and drafts were made available to all members ofthe group. In the course ofseveral meetings drafts were altered and incorporated into a final text. The guidelines were approved by the full JTC and by the Standards of Care Committee of the British Thoracic Society. In revising the guidelines the authors took account ofnew published evidence and recent concerns about drug resistance and possible effects ofHIV on tuberculosis. Conclusions - (1) All cases of tuberculosis must be notified. (2) A few patients need hospital admission. (3) Patients with positive sputum smears and sensitive organisms should be considered infectious until they have received two weeks' chemotherapy. (4) Treatment of all tuberculosis patients should be supervised by a respiratory physician employing standard medication guidelines and monitoring compliance at least monthly. (5) Health care workers at risk should be protected by BCG vaccination and appropriate infection control measures, and evidence of infectious tuberculosis should be sought among prospective NHS staff, school teachers, and others. (6) Prison staff should be protected. (7) Tuberculosis should be considered in the elderly in long stay care with persistent chest symptoms. (8) Contact tracing should be vigorously pursued with chemoprophylaxis, BCG vaccination, or follow up where applicable. (9) Entrants to the UK from high risk countries (tuberculosis incidence more than 40/100 000 population per year) should be screened. (10) BCG vaccination should be offered where appropriate but not in subjects with known or suspected HIV infection. (11) The local organisation of tuberculosis services should be strengthened and should include adequate nursing and support staff. (12) Contracts between purchasers and providers should specify management of tuberculosis in line with this and other JTC guidelines.

Original languageEnglish
Pages (from-to)1193-1200
Number of pages8
JournalThorax
Volume49
Issue number12
DOIs
Publication statusPublished - 1994

Bibliographical note

Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.

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