Yale
New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA
Dr. Jeff Topal
688-4634
Intensive Care Units
Any ICU patient who may have active TB should be placed in a
private room which meets the ventilation criteria for Airborne Precautions (i.e. negative pressure room).
ICU patients with undiagnosed pulmonary symptoms who are at risk for pulmonary tuberculosis should have respiratory secretions
submitted for AFB smear and culture. These patients should be
placed on Airborne Precautions until a diagnosis of TB
is ruled-out by three negative AFB smears obtained on separate days.
Once such a patient has been appropriately evaluated and deemed not to be
infectious with TB, he/she can be taken off Airborne Precautions.
Endotracheal suctioning of patients who may have active tuberculosis should be carried out using a closed-system suction catheter.
Placing a bacterial filter on an endotracheal tube or on the
expiratory side of the ventilation circuit in a patient with
suspected or confirmed tuberculosis may help reduce the risk
of contaminating ventilation equipment or the discharging of
tubercule bacilli into the ambient air.