Correlation between frequency of tuberculosis and compliance with control strategies.
Infect Control Hosp Epidemiol
; 18(1): 28-31, 1997 Jan.
Article
em En
| MEDLINE
| ID: mdl-9013243
ABSTRACT
OBJECTIVE:
To determine if compliance with annual tuberculosis skin testing correlated with the number of cases of tuberculosis seen in patients and healthcare workers.DESIGN:
Survey using a written questionnaire. SETTING ANDPARTICIPANTS:
159 Veterans' Administration facilities.RESULTS:
Hospitals that reported that > 80% of their healthcare workers received annual skin tests saw 12.7 patient cases per 10,000 admissions and 4.0 healthcare worker cases per 10,000 personnel. Facilities in which < 20% of their healthcare workers were given annual skin tests saw 4.5 cases per 10,000 admissions and 1.6 cases in healthcare workers per 10,000 personnel (P < .001 for patients and P = .31 for healthcare workers). The ratio of the median number of patients placed in acid-fast bacilli (AFB) isolation to the median number of patients with confirmed tuberculosis was 12. There was no correlation of this ratio with the number of cases of tuberculosis in patients or healthcare workers seen in each facility.CONCLUSION:
Compliance with annual tuberculosis skin testing was related directly to the rate of tuberculosis seen in patients. More standardized policies for placing patients in AFB isolation are needed to control for potentially costly variation among facilities. These measures should have highest priority in the control of tuberculosis in the healthcare setting, before implementing still more expensive interventions.
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Bases de dados:
MEDLINE
Assunto principal:
Recursos Humanos em Hospital
/
Tuberculose Pulmonar
/
Programas de Rastreamento
/
Infecção Hospitalar
/
Exposição Ocupacional
/
Controle de Infecções
/
Hospitais de Veteranos
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Infect Control Hosp Epidemiol
Assunto da revista:
DOENCAS TRANSMISSIVEIS
/
ENFERMAGEM
/
EPIDEMIOLOGIA
/
HOSPITAIS
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos