title: [Multidrug resistant tuberculosis among health personnel in Côte d'Ivoire].
abstract: Multidrug resistance tuberculosis (MDR-TB) of health workers raises the question of hospital-borne transmission of infection.
  
  
  METHODS
  We report 4 cases of MDR-TB confirmed at the health workers over a period of 8 years (January, 2005 to December 2012), in the 2 services of pulmonology from Abidjan to Côte d'Ivoire). It was about young grown-up patients (aged between 28 and 39 years), all HIV negatives, in a no-win situation of antituberculosis treatment (3 patients/4). The most concerned staffs were the male nurses (2/4). Two agents worked in general hospital and the only one in a pulmonology department at the time of the diagnosis. The tuberculosis was of lung seat with bilateral radiographic hurt (3/4) and multiples excavations (4/4). The case index, when it was identified (2/2), was a family case. Among 3 agents who benefited from a second line treatment, 1 died further to an extensive drug resistance and 2 are declared to be cured. The fourth died before the beginning of the treatment. These cases of cure were in touch with a premature care.
  
  
  CONCLUSIONS
  Multidrug resistant tuberculosis at the health workers could have a negative impact on the antituberculosis fight imposing rigorous measures of infection control and better implication of the occupational medicine.
authors.affiliation: Service de pneumologie, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: A S
authors.initials: AS
authors.lastname: Bakayoko
authors.affiliation: Service de pneumologie, CHU Cocody, Abidjan, Côte d'Ivoire. Electronic address: ahuib@hotmail.fr.
authors.forename: B J M
authors.initials: BJ
authors.lastname: Ahui
authors.affiliation: Institut Pasteur de Côte d'Ivoire, Côte d'Ivoire.
authors.forename: R
authors.initials: R
authors.lastname: Nguessan
authors.affiliation: Service de pneumologie, CHU Cocody, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Kone
authors.affiliation: Service de pneumologie, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: Z
authors.initials: Z
authors.lastname: Kone
authors.affiliation: Service de pneumologie, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: A T
authors.initials: AT
authors.lastname: Daix
authors.affiliation: Service de pneumo-phtisiologie, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
authors.forename: G
authors.initials: G
authors.lastname: Badoum
authors.affiliation: Service de médecine du travail, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: G
authors.initials: G
authors.lastname: Adou
authors.affiliation: Programme national de lutte contre la tuberculose (PNLT), Abidjan, Côte d'Ivoire.
authors.forename: O A
authors.initials: OA
authors.lastname: Kouakou
authors.affiliation: Programme national de lutte contre la tuberculose (PNLT), Abidjan, Côte d'Ivoire.
authors.forename: J
authors.initials: J
authors.lastname: Kouakou
authors.affiliation: Service de pneumologie, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: G
authors.initials: G
authors.lastname: Coulibaly
authors.affiliation: Service de pneumologie, CHU Treichville, Abidjan, Côte d'Ivoire.
authors.forename: K
authors.initials: K
authors.lastname: Domoua
authors.affiliation: Service de pneumologie, CHU Cocody, Abidjan, Côte d'Ivoire.
authors.forename: E
authors.initials: E
authors.lastname: Aka-Danguy
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D007560:Cote d'Ivoire; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis* / Q000188:drug therapy / Q000635:transmission
chemical_list: D000995:Antitubercular Agents
keywords: Adult; Adultes; Antibiotiques antituberculeux; Antituberculosis agents; Hospital personnel; Infection control; Lutte contre l’infection; Multidrug resistant tuberculosis; Personnel hospitalier; Tuberculose multirésistante