Pott's disease primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

Pott's disease can be prevented by controlling the spread of tuberculosis infection. Prevention of pulmonary tuberculosis is essential for the prevention of spinal tuberculosis.

Primary Prevention

  • BCG vaccination is recommended to all infants living in endemic areas of TB or having a high risk of exposure to TB. [1]
  • Travelers should avoid close contact or prolonged time with known TB patients in crowded, enclosed environments.
  • Travelers who anticipate possible prolonged exposure to TB, such as medical staff, individuals in prison, or homeless shelter populations should have a tuberculin skin test (TST) or interferon-gamma release assay (IGRA) test before leaving the United States. [2]
  • Confirmed cases of TB during hospitalization should meet the following recommendations:[3]
  • Single-patient room with private bathroom.
  • Healthcare workers and visitors should wear disposable respirators (at least N95).
  • Doors should be closed as much time as possible.
  • Adequate room ventilation or negative pressure should be assessed daily.


References

  1. "WHO Guidance for national tuberculosis programmes on the management of tuberculosis in children, 2014" (PDF).
  2. "CDC Tuberculosis Infection Control and Prevention".
  3. "Guidelines for Preventing the Transmission of M. tuberculosis in Health-Care Settings, 2005".

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