Multidrug-resistant tuberculosis outbreak on an HIV ward--Madrid, Spain, 1991-1995

MMWR Morb Mortal Wkly Rep. 1996 Apr 26;45(16):330-3.


Beginning in 1990, outbreaks of multidrug-resistant tuberculosis (MDR-TB) have been reported in hospitals and prisons in the eastern United States (1). During June 1991-January 1995, MDR-TB was diagnosed in 47 patients and one health-care worker at a 120-bed, infectious disease referral hospital in urban Madrid; on April 19, 1995, the Spanish Field Epidemiology Training Program was asked to investigate this outbreak. This report summarizes the findings of this investigation, which suggested that nosocomial transmission of MDR-TB occurred on a hospital ward for patients with human immunodeficiency virus (HIV) infection.

MeSH terms

  • Adult
  • Cross Infection / complications
  • Cross Infection / epidemiology*
  • Cross Infection / transmission
  • Female
  • HIV Infections* / complications
  • Hospital Units*
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Spain / epidemiology
  • Tuberculosis, Multidrug-Resistant / complications
  • Tuberculosis, Multidrug-Resistant / epidemiology*
  • Tuberculosis, Multidrug-Resistant / transmission