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Letters |1 January 1995

Respirators and Tuberculosis

Mary D. Nettleman, MD, MPH

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  • University of Iowa College of Medicine; Iowa City, IA 52242
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IN RESPONSE:
As discussed by Dr. Barnhart and Ms. Beaudet and as stated in our article [1], the number of respirators used could be reduced through reuse or by restricting access to patient rooms. Unfortunately, these measures will have a limited effect. Respirators cannot be reused indefinitely. Most hospitals cannot afford to have a dedicated caretaker serve meals, clean rooms, give medications, respond to patient requests, and provide baths and examinations. The results of our study, including the number of respirators required per patient-day, were strikingly similar to those reported in a study from the University of Virginia [2].
Dr. Israel correctly states that the mortality rate for tuberculosis will vary according to the presence of comorbid conditions. The mortality rate we chose was the figure used for tuberculosis in developing countries and represents an average rate [3].
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Nettleman MD. Respirators and Tuberculosis. Ann Intern Med. ;122:70–71. doi: 10.7326/0003-4819-122-1-199501010-00023

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Published: Ann Intern Med. 1995;122(1):70-71.

DOI: 10.7326/0003-4819-122-1-199501010-00023

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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