Correlation between frequency of tuberculosis and compliance with control strategies.
OBJECTIVE
To determine if compliance with annual tuberculosis skin testing correlated with the number of cases of tuberculosis seen in patients and healthcare workers.


METHODS
Survey using a written questionnaire.


METHODS
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.


CONCLUSIONS
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.
Roy
M C
MC
Division of General Medicine, Clinical Epidemiology and Health Services Research, University of Iowa Hospitals and Clinics, USA.
Fredrickson
M
M
Good
N L
NL
Hunter
S A
SA
Nettleman
M D
MD
D003428:Cross Infection / Q000517:prevention & control*; D006787:Hospitals, Veterans / Q000706:statistics & numerical data*; D006801:Humans; D017053:Infection Control / Q000592:standards*; D008403:Mass Screening / Q000592:standards*; D016273:Occupational Exposure / Q000517:prevention & control*; D010564:Personnel, Hospital; D011795:Surveys and Questionnaires; D014374:Tuberculin Test; D014397:Tuberculosis, Pulmonary / Q000517:prevention & control*; D014481:United States