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Use of acid-fast bacilli staining to determine the need for airborne infection isolation precautions: A comparison of respiratory specimens
Institution of appropriate airborne infection isolation (AII) precautions for patients with suspected Mycobacterium tuberculosis is critical to prevent disease transmission. We compared the yield of acid-fast bacilli smears from different types of respiratory specimens and found that smear sensitivi...
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| Published in: | American journal of infection control 2014-11, Vol.42 (11), p.1244-1246 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 1246 |
| container_issue | 11 |
| container_start_page | 1244 |
| container_title | American journal of infection control |
| container_volume | 42 |
| creator | Silkaitis, Christina, MT (ASCP), CIC Bardowski, Laura, MSN, RN, CIC Coomer, Cara, RN, BSN, MSW, CIC Trakas, Kathryn, MT (ASCP) Lavin, Mary Alice, RN, MJ, CIC Reddy, Susheel, MPH Bolon, Maureen K., MD, MS Zembower, Teresa R., MD, MPH |
| description | Institution of appropriate airborne infection isolation (AII) precautions for patients with suspected Mycobacterium tuberculosis is critical to prevent disease transmission. We compared the yield of acid-fast bacilli smears from different types of respiratory specimens and found that smear sensitivity was highest for specimens obtained by endotracheal aspirates (92%), followed by sputum (79%), and then by bronchoalveolar lavage (37%). As a result of this study, our institutional policy regarding discontinuation of AII precautions was amended. |
| doi_str_mv | 10.1016/j.ajic.2014.08.005 |
| format | article |
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We compared the yield of acid-fast bacilli smears from different types of respiratory specimens and found that smear sensitivity was highest for specimens obtained by endotracheal aspirates (92%), followed by sputum (79%), and then by bronchoalveolar lavage (37%). As a result of this study, our institutional policy regarding discontinuation of AII precautions was amended.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2014.08.005</identifier><identifier>PMID: 25248484</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acid-fast bacilli ; Bacterial infections ; Bacteriological Techniques - methods ; Biological and medical sciences ; Bodily Secretions - microbiology ; Bronchoalveolar Lavage Fluid - microbiology ; Comparative analysis ; Disease control ; Disease prevention ; Disease transmission ; Disease Transmission, Infectious - prevention & control ; Epidemiology. Vaccinations ; General aspects ; Humans ; Infection Control ; Infectious Disease ; Infectious diseases ; Isolation precautions ; Medical sciences ; Mycobacterium tuberculosis ; Mycobacterium tuberculosis - isolation & purification ; Patient Isolation ; Respiratory specimens ; Retrospective Studies ; Sputum - microbiology ; Staining and Labeling - methods ; Tuberculosis ; Tuberculosis, Pulmonary - microbiology ; Tuberculosis, Pulmonary - transmission</subject><ispartof>American journal of infection control, 2014-11, Vol.42 (11), p.1244-1246</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2014 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. 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We compared the yield of acid-fast bacilli smears from different types of respiratory specimens and found that smear sensitivity was highest for specimens obtained by endotracheal aspirates (92%), followed by sputum (79%), and then by bronchoalveolar lavage (37%). As a result of this study, our institutional policy regarding discontinuation of AII precautions was amended.</description><subject>Acid-fast bacilli</subject><subject>Bacterial infections</subject><subject>Bacteriological Techniques - methods</subject><subject>Biological and medical sciences</subject><subject>Bodily Secretions - microbiology</subject><subject>Bronchoalveolar Lavage Fluid - microbiology</subject><subject>Comparative analysis</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Disease Transmission, Infectious - prevention & control</subject><subject>Epidemiology. Vaccinations</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infection Control</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Isolation precautions</subject><subject>Medical sciences</subject><subject>Mycobacterium tuberculosis</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Patient Isolation</subject><subject>Respiratory specimens</subject><subject>Retrospective Studies</subject><subject>Sputum - microbiology</subject><subject>Staining and Labeling - methods</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Pulmonary - microbiology</subject><subject>Tuberculosis, Pulmonary - transmission</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9ktuK1TAUhosoznb0BbyQgAjetObQpKkMwjB4ggEvdK5DDquabZvUpBX2M_jSpu6tA3Mhucgi-da_VvKvqnpKcEMwEa_2jd5721BM2gbLBmN-r9oRTrua0V7cr3aY9KIWnLOz6lHOe4xxzwR_WJ1RTltZ1q76dZMBxQFp61096LwgU8Jx9Cgv2gcfvqIlIgcLpMkHQMs3QAHAoSEmpH0yMZVTHwawi48B-RxH_SeaE1i9bmF-jS6RjdOsU7kOW7kEefZJLzEdUJ7B-glCflw9GPSY4clpP69u3r39cvWhvv70_uPV5XVtW4qXmvXd4HhnHTFCGmN0Jwxx3SB6YNpQynDfWckx0a3GzEljuXGUdkJSJqRj7Lx6edSdU_yxQl7U5LOFcdQB4poVEbTvOyKEKOjzO-g-rimU7jZKEIEl7wpFj5RNMecEg5qTn3Q6KILVZpXaq80qtVmlsFTFqpL07CS9mgncv5S_3hTgxQnQ2epxSDpYn2852WMqu03o4shB-bOfHpLK1kOw4HyxYFEu-v_38eZOuh2L8aXidzhAvn2vylRh9Xkbqm2mSIsJ5i1lvwGn98go</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Silkaitis, Christina, MT (ASCP), CIC</creator><creator>Bardowski, Laura, MSN, RN, CIC</creator><creator>Coomer, Cara, RN, BSN, MSW, CIC</creator><creator>Trakas, Kathryn, MT (ASCP)</creator><creator>Lavin, Mary Alice, RN, MJ, CIC</creator><creator>Reddy, Susheel, MPH</creator><creator>Bolon, Maureen K., MD, MS</creator><creator>Zembower, Teresa R., MD, MPH</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Use of acid-fast bacilli staining to determine the need for airborne infection isolation precautions: A comparison of respiratory specimens</title><author>Silkaitis, Christina, MT (ASCP), CIC ; Bardowski, Laura, MSN, RN, CIC ; Coomer, Cara, RN, BSN, MSW, CIC ; Trakas, Kathryn, MT (ASCP) ; Lavin, Mary Alice, RN, MJ, CIC ; Reddy, Susheel, MPH ; Bolon, Maureen K., MD, MS ; Zembower, Teresa R., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-397fd57cd1b68bbba76b1d7f69e3ab223097c8501a4a03d8bc5bd227682368d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acid-fast bacilli</topic><topic>Bacterial infections</topic><topic>Bacteriological Techniques - methods</topic><topic>Biological and medical sciences</topic><topic>Bodily Secretions - microbiology</topic><topic>Bronchoalveolar Lavage Fluid - microbiology</topic><topic>Comparative analysis</topic><topic>Disease control</topic><topic>Disease prevention</topic><topic>Disease transmission</topic><topic>Disease Transmission, Infectious - prevention & control</topic><topic>Epidemiology. 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| ispartof | American journal of infection control, 2014-11, Vol.42 (11), p.1244-1246 |
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| source | ScienceDirect Freedom Collection |
| subjects | Acid-fast bacilli Bacterial infections Bacteriological Techniques - methods Biological and medical sciences Bodily Secretions - microbiology Bronchoalveolar Lavage Fluid - microbiology Comparative analysis Disease control Disease prevention Disease transmission Disease Transmission, Infectious - prevention & control Epidemiology. Vaccinations General aspects Humans Infection Control Infectious Disease Infectious diseases Isolation precautions Medical sciences Mycobacterium tuberculosis Mycobacterium tuberculosis - isolation & purification Patient Isolation Respiratory specimens Retrospective Studies Sputum - microbiology Staining and Labeling - methods Tuberculosis Tuberculosis, Pulmonary - microbiology Tuberculosis, Pulmonary - transmission |
| title | Use of acid-fast bacilli staining to determine the need for airborne infection isolation precautions: A comparison of respiratory specimens |
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