Acoem Guidance Statement
نویسندگان
چکیده
EXECUTIVE SUMMARY Although the rate of tuberculosis (TB) cases has fallen in the United States over the past two decades,1 continuing importation and transmission combined with the global emergence of drug-resistant strains present an ongoing occupational risk for health care workers (HCWs). To reduce this risk, health care facilities need to implement multiple steps. These steps should include offering updated periodic training of HCWs to maintain awareness about potential TB risks; optimizing the design, ventilation, and patient flow in clinical spaces; providing baseline, periodic, and postexposure TB testing of HCWs; using appropriate and effective respiratory protection; implementing active infection control procedures; and periodically updating the facilities-written TB control plans.2,3 Evolving diagnostic methodologies and treatment options highlight the need for occupational and environmental medicine physicians to stay current to provide quality medical care to HCWs.
منابع مشابه
ACOEM GUIDANCE STATEMENT Reproductive and Developmental Hazard Management
T he magnitude, characterization, and control of occupational and environmental reproductive and developmental health risks are areas of active scholarly investigation. Scientific, epidemiological, and toxicological data concerning reproductive and developmental health risks have been determined for some chemicals, but data on many chemicals, physical agents, and biological agents are limited a...
متن کاملA critique of the ACOEM statement on mold: undisclosed conflicts of interest in the creation of an "evidence-based" statement.
In 2003, the American College of Occupational and Environmental Medicine (ACOEM) published its evidence-based statement, "Adverse Human Health Effects Associated with Molds in the Indoor Environment," in its Journal of Occupational and Environmental Medicine (JOEM). ACOEM's author selection, development, peer review, and publication of its mold position paper involved a series of seemingly bias...
متن کاملIn reference to Manchikanti et al's criticism of ACOEM guidelines.
Regarding Manchikanti et al’s recent articles A Critical Appraisal of Occupational Medicine Practice Guidelines for Interventional Pain Management and Review of Occupational Medicine Practice Guidelines for Interventional Pain Management and Potential Implications (1,2), it is ironic that the authors purport to evaluate methods for the collection of evidence, but rely on flawed methodology (e.g...
متن کاملACOEM GUIDANCE STATEMENT Spirometry in the Occupational Health Setting—2011 Update
S pirometry, the most frequently performed pulmonary function test (PFT), is the cornerstone of occupational respiratory evaluation programs. In the occupational health setting, spirometry plays a critical role in the primary, secondary, and tertiary prevention of workplace-related lung disease.1 Used for both screening and clinical evaluations, spirometry tests are performed in a variety of ve...
متن کاملACOEM position statement. Spirometry in the occupational setting. American College of Occupational and Environmental Medicine.
This position statement reviews several aspects of spirometric testing in the workplace, where spirometry is employed in the primary, secondary, and tertiary prevention of occupational lung disease. Primary prevention includes pre-placement and fitness-for-duty examinations as well as research and monitoring of health status in groups of exposed workers; secondary prevention includes periodic m...
متن کاملAmerican College of Occupational and Environmental Medicine (ACOEM): a professional association in service to industry.
The American College of Occupational and Environmental Medicine (ACOEM) is a professional association that represents the interests of its company-employed physician members. Fifty years ago the ACOEM began to assert itself in the legislative arena as an advocate of limited regulation and enforcement of occupational health and safety standards and laws, and environmental protection. Today the A...
متن کامل