Hepatitis B Virus (HBV)

Category: Tuberculosis

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: Discussion

The PPD reactor rate of 12.8% for new employees was quite high compared with a mean initial reactor rate of 1.91% found in the SHEA-CDC survey. This high rate is likely attributable to two facts. First, TB is significantly more prevalent in San Diego than in the nation as a whole. Second, individuals at high […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: INH Preventive Treatment

Of the 894 convertors and reactors, 259 (91 convertors, 167 reactors) were felt to be eligible for INH preventive treatment by the skin testing technical staff and were offered an appointment with a physician for evaluation (Table 4). Forty-two individuals (16.2%) did not attend their appointment despite repeated requests. Of those that did attend, only […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: Exposure Evaluations

Sixty-six new personnel received a TB symptom questionnaire because it was decided that a chest radiograph should be deferred (Table 2). Only one individual (1.5%) responded positively to any of the questions. TB symptom questionnaires were given to 2,815 returning employees (either the employee was low-risk or it was felt that a chest radiograph should […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: Results

Number of Cases of TB and Delay in Diagnosis There were 85 cases of sputum culture-positive TB at UCSD Medical Center between 1993 and 1995. Of these, 69 (81.2%) were AFB smear-positive. Seventy-one patients with TB were diagnosed upon admission. In 14 patients who were not initially placed in isolation, the diagnosis was delayed a […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: INH Preventive Therapy

In general a significant exposure is considered to have occurred if an employee has unprotected face-to-face contact with a patient (regardless of duration or frequency of visits ) who is later determined to have AFB smear-positive pulmonary TB. When the source case of the potential exposure is not sputum AFB smear-positive, the determination of the […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: TB Screening Policy

All new employees and volunteers with a PPD of 10 mm or greater are required to have a chest radiograph. This is also true of all established employees unless they are in one of two categories. Those who have completed at least 6 months of isoniazid (INH) therapy or whose significantly reactive PPD has been […]

Effectiveness of a Nosocomial Tuberculosis Control Program at an Urban Teaching Hospital: Materials and Methods

Number of Employees and Cases of TB at UCSD The number, race, ethnicity, and country of origin of new and established employees and volunteers for the years 1993, 1994, and 1995 were determined from payroll and staffing records maintained by the medical center. The medical center patient database was searched for all patients with a […]

Tags