结核、麻疹到底以啥途径传播为主

绿野仙踪

新《医院隔离技术规范》之附录E说，麻疹、肺结核飞沫传播“++”，空气传播“+”，即以飞沫传播为主。而大多数书或专家讲课，均说二者以空气传播为主。这是咋回事？

潮水

麻疹、肺结核应该是通过空气传播的。

星火

在国内认为空气传播可能包括飞沫传播，在预防隔离上要求负压病房？

如果。爱

空气传播，空气隔离。我理解既有空气传播又有飞沫传播的疾病就以空气传播为主来隔离。这个问题我在培训时提问了，但老师没回答我。

茵梦湖

1# 绿野仙踪

M. tuberculosis
S-标准预防
Concurrent, active pulmonary disease or draining cutaneous lesions may necessitate addition of Contact and/or Airborne Precautions;For children, airborne precautions until active tuberculosis ruled out in visiting family members (see tuberculosis below)

Measles (rubeola)
A-空气预防
Susceptible HCWs should not enter room if immune care providers are available; no recommendation for face protection for immune HCW; no recommendation for type of face protection for susceptible HCWs, i.e., mask or respirator. For exposed susceptibles,post-exposure vaccine within 72 hrs. or immune globulin within 6 days when available. Place exposed susceptible patients on Airborne Precautions and exclude susceptible healthcare personnel from duty from day 5 after first exposure to day 21 after last exposure, regardless of post-exposure vaccine.

                                              -美国2007年隔离指南

绿野仙踪

谢谢上边4位老师的回复！回复英文的我只能请教别人了。