Tuberculosis surveillance of community hospital employees: A recommended strategy

R. Ramaswamy, Marilou Corpuz, D. Hewlett

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective and Methods: To suggest a cost-effective strategy with a high degree of surveillance for the transmission of tuberculosis infection to employees in community hospitals. We performed a cost-benefit analysis of tuberculin skin testing over a 4-year period. The setting was a community hospital in Bronx, NY. The subjects consisted of employees of the hospital who were categorized into high-risk employees defined as individuals who worked daily in patient care and low-risk employees defined as those not directly involved in patient care. All cases of tuberculin skin test conversion among employees were reviewed over a 4-year period. The departments involved, total number of employees, chest radiographic findings, and prophylaxis instituted were noted. Results: The number of employees who were screened over the past 4 years consisted of 897 in 1990, 857 in 1991, 1357 in 1992, and 1316 in 1993. The mean annual conversion rate was 1%, 1.5%, 1.7%, and 1.4% for the 4 years, respectively. Skin test conversions according to job description revealed that of the total number of conversions 42% were from the nursing staff, 6.2% among the physicians and residents, and 52% among the ancillary staff. There was no difference in conversion between medical and nonmedical services such as the gynecology and surgical floors. Conclusion: Since tuberculin conversion rates of high-risk employees and those exposed to infectious tuberculosis cases have been low, we suggest a comprehensive strategy of 6-month tuberculin testing for high-risk employees and yearly testing for low-risk employees and eliminating boosting and repeated testing at 12 weeks in those exposed to infectious cases of tuberculosis.

Original languageEnglish (US)
Pages (from-to)1637-1639
Number of pages3
JournalArchives of Internal Medicine
Volume155
Issue number15
StatePublished - 1995
Externally publishedYes

Fingerprint

Community Hospital
Tuberculosis
Tuberculin
Skin Tests
Patient Care
Job Description
Tuberculin Test
Infectious Disease Transmission
Nursing Staff
Gynecology
Cost-Benefit Analysis
Thorax
Physicians
Costs and Cost Analysis
Skin

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Tuberculosis surveillance of community hospital employees : A recommended strategy. / Ramaswamy, R.; Corpuz, Marilou; Hewlett, D.

In: Archives of Internal Medicine, Vol. 155, No. 15, 1995, p. 1637-1639.

Research output: Contribution to journalArticle

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