title: Costs associated with tuberculosis control programs at hospitals caring for children.
abstract: OBJECTIVE
  No data are available on the costs of implementing infection control measures for the control of Mycobacterium tuberculosis (MTB) in pediatric settings. In this study we determined the cost of MTB control measures at three hospitals caring for children.
  
  
  METHODS
  Infection control and tuberculosis (TB) coordinators obtained cost data retrospectively for the years 1994 to 1995 for tuberculin skin test programs, respiratory protection programs and the retrofit or new construction of environmental controls in pediatric settings.
  
  
  METHODS
  Two pediatric hospitals and one pediatric ward in a large tertiary care hospital.
  
  
  RESULTS
  Total expenditures for TB controls ranged from $15270 to $28158 for the 2-year study period. Engineering controls involved the largest capital outlay at two of three facilities. Average yearly tuberculin skin test costs ranged from $949 to $12504/hospital. Respiratory protection programs cost from $480 to $1680 during the 2-year study period.
  
  
  CONCLUSIONS
  Costs associated with implementing control measures varied slightly by hospital but were less than those incurred by hospitals caring for adults. These costs represent improvements made to upgrade selected aspects of hospital TB control programs, not the cost of an optimal TB control program. Optimal TB control programs in pediatric settings have yet to be described.
authors.affiliation: Investigation and Prevention Branch, Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
authors.forename: S
authors.initials: S
authors.lastname: Kellerman
authors.forename: L
authors.initials: L
authors.lastname: Saiman
authors.forename: M
authors.initials: M
authors.lastname: Soto-Irizarry
authors.forename: P
authors.initials: P
authors.lastname: San Gabriel
authors.forename: C A
authors.initials: CA
authors.lastname: Larsen
authors.forename: R
authors.initials: R
authors.lastname: Besser
authors.forename: A
authors.initials: A
authors.lastname: Catanzaro
authors.forename: W
authors.initials: W
authors.lastname: Jarvis
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017053:Infection Control / Q000191:economics* / Q000379:methods; D009169:Mycobacterium tuberculosis; D012134:Respiratory Protective Devices / Q000592:standards; D014374:Tuberculin Test / Q000191:economics; D014376:Tuberculosis / Q000517:prevention & control* / Q000635:transmission