Perioperative Care of the Patient with Tuberculosis

Neil, Janice A.

doi:10.1016/j.aorn.2008.08.013

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Volume 88, Issue 6 , Pages 942-962, December 2008

Perioperative Care of the Patient with Tuberculosis

ABSTRACT

APPROXIMATELY 1.7 BILLION PEOPLE are thought to be infected with Mycobacterium tuberculosis. The estimated mortality rate is 3 million people per year.

MULTIDRUG RESISTANT-TUBERCULOSIS (MDR-TB) and extensively drug-resistant TB (XDR-TB) are serious problems that threaten global TB control. Patients who are inadequately treated remain chronic carriers and can spread the disease to family members and their communities.

TREATMENT RECOMMENDATIONS for TB include directly observed treatment and monitoring the patient's response to medications. Perioperative nurses must protect the patient and other health care workers when a patient with TB undergoes a surgical procedure. AORN J 88 (December 2008) 942–958. © AORN, Inc, 2008.

indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 959–960 and then completing the answer sheet and learner evaluation on pages 961–962.You also may access this article online at http://www.aornjournal.org.Editor's note: QuantiFERON-TB Gold test is a registered trademark of Cellestis Limited, Carnegie, Victoria, Australia.The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN recognizes this activity as continuing education for registered nurses. This recognition does not imply that AORN or the American Nurses Credentialing Center approves or endorses products mentioned in the activity.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.