Journal Article

Tuberculin Skin Testing Surveillance of Health Care Personnel

Adelisa L. Panlilio, Dale R. Burwen, Amy B. Curtis, Pamela U. Srivastava, John Bernardo, Michela T. Catalano, Meryl H. Mendelson, Peter Nicholas, William Pagano, Carol Sulis, Ida M. Onorato and Mary E. Chamberland

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 35, issue 3, pages 219-227
Published in print August 2002 | ISSN: 1058-4838
Published online August 2002 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/341303
Tuberculin Skin Testing Surveillance of Health Care Personnel

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To estimate the incidence of and assess risk factors for occupational Mycobacterium tuberculosis transmission to health care personnel (HCP) in 5 New York City and Boston health care facilities, performance of prospective tuberculin skin tests (TSTs) was conducted from April 1994 through October 1995. Two-step testing was used at the enrollment of 2198 HCP with negative TST results. Follow-up visits were scheduled for every 6 months. Thirty (1.5%) of 1960 HCP with ⩾1 follow-up evaluation had TST conversion (that is, an increase in TST induration of ⩾10 mm). Independent risk factors for TST conversion were entering the United States after 1991 and inclusion in a tuberculosis-contact investigation in the workplace. These findings suggest that occupational transmission of M. tuberculosis occurred, as well as possible nonoccupational transmission or late boosting among foreign-born HCP who recently entered the United States. These results demonstrate the difficulty in interpreting TST results and estimating conversion rates among HCP, especially when large proportions of foreign-born HCP are included in surveillance.

Journal Article.  4118 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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