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The use of respirators in the health care setting is a relatively new but important step forward in the efforts to prevent the transmission of tuberculosis (TB). Air purifying respirators provide a barrier to prevent health care workers from inhaling Mycobacterium tuberculosis. The level of protection a respirator provides is determined by the efficiency of the filter material and how well the facepiece fits or seals to the health care worker’s face. A number of studies have shown that surgical masks will not provide adequate protection in filtering out the TB organism. Additionally, surgical masks are not respirators and. | TB Respiratory Protection Program In Health Care Facilities Administrator s Guide U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention National Institute for Occupational Safety and Health September 1999 iii Disclaimer Mention of any company name or product does not constitute endorsement by the National Institute for Occupational Safety and Health. Copies of this and other NIOSH documents are available from National Institute for Occupational Safety and Health Publications Dissemination 4676 Columbia Parkway Cincinnati OH 45226-1998 1-800-35-NIOSH 1-800-356-4674 Fax number 513 533-8573 To receive other information about occupational safety and health problems call 1-800-35-NIOSH 1-800-356-4674 or visit the NIOSH Web site at www.cdc.gov niosh DHHS NIOSH Publication No. 99-143 iv Foreword The use of respirators in the health care setting is a relatively new but important step forward in the efforts to prevent the transmission of tuberculosis TB . Air purifying respirators provide a barrier to prevent health care workers from inhaling Mycobacterium tuberculosis. The level of protection a respirator provides is determined by the efficiency of the filter material and how well the facepiece fits or seals to the health care worker s face. A number of studies have shown that surgical masks will not provide adequate protection in filtering out the TB organism. Additionally surgical masks are not respirators and therefore are not NIOSH certified and do not satisfy OSHA requirements for respiratory protection. The proper use of respirators represents a significant improvement in employee protection against TB. NIOSH realizes that the use of respirators involves a number of new and perhaps confusing practices for the health care community. This manual is designed to serve as a practical guide for those individuals responsible for initiating and running a TB respiratory protection program in health care facilities. Other
