PMID: 9552184Apr 29, 1998Paper

Low risk for tuberculosis in a regional pediatric hospital: nine-year study of community rates and the mandatory employee tuberculin skin-test program

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
C D ChristieJ Thole

Abstract

To assess the risk of Mycobacterium tuberculosis infection and disease among patients and workers in a regional pediatric hospital. Descriptive epidemiological study of the mandatory tuberculin skin testing program of hospital employees at hire and during annual reevaluation, pediatric patients with tuberculosis (TB), efficacy of hospital infection control measures, and community rates of TB. 361-bed, university, pediatric hospital serving Cincinnati (1.7 million population). During 1986 through 1994, 2,275 to 4,356 employees were compliant with Mantoux skin testing and screening each year. This represented >97% of the population who were eligible for screening. The cumulative rate of M tuberculosis infection from a previous positive tuberculin skin test was 10% to 12% per year during 1986 through 1994. Among new Mantoux skin-test converters in employees at annual reevaluation, the risk of TB infection was 0.3% in 1993 and 1994. There were no active cases of TB identified during new employee screening or annual reevaluation. Of 62 new Mantoux skin-test converters in 9 years, 23% were foreign-born, 13% were Asian, 23% were African American, 11% received the bacillus of Calmette-Guérin vaccine, and 60% had direct patient care or ...Continue Reading

Citations

Sep 5, 2002·American Journal of Industrial Medicine·Aubrey K MillerKarl Sieber
Aug 3, 2010·Infectious Disease Clinics of North America·Daphne Ling, Dick Menzies
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Andrea T CruzJeffrey R Starke

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