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.
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.
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.
Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Poumon, Surveillance, Employé, Hôpital, Transmission homme homme, Personnel sanitaire, Analyse avantage coût, Homme, Appareil respiratoire pathologie, Poumon pathologie
Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Lung, Surveillance, Employee, Hospital, Transmission from man to man, Health staff, Cost benefit analysis, Human, Respiratory disease, Lung disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0470483
Code Inist : 002B05B02O. Création : 01/03/1996.