Tuberculosis in physicians: compliance with surveillance and treatment.
Ramphal-Naley L; Kikhorn S; Lohman WH; Zelterman D
Am J Infect Control 1996 Aug; 24(4):243-253
The compliance of physicians, exposed to tuberculosis, with surveillance and treatment was examined. A questionnaire was submitted to 284 physicians at St. Paul Ramsey Medical Center about demographic data, current status of tuberculin skin test (TST) results, and follow up after a positive TST. It was found that 71% of resident and full time physicians were current in their TST status and 66% of associate physicians were current. Thirteen percent of the resident and full time physicians were shown to have positive TST compared to 20% for associate physicians. It was found that 55% of resident physicians complied with TB prophylaxis after a positive TST, 44% for staff physicians, and 17% for associate physicians. The authors conclude that resident physicians were the most compliant with screening and treatment. Staff and associate physicians were poor in their compliance with screening and treatment. If voluntary compliance does not yield desirable results, hospitals may have to enforce compliance.
NIOSH-Publication; NIOSH-Grant; Training; Occupational-medicine; Medical-personnel; Bacterial-infections; Medical-screening; Skin-tests; Preventive-medicine; Surveillance-programs
Lilly Ramphal-Naley, MD, MPH, United Occupational Health Services of Allina, 990 Lone Oak Rd., Suite 120, Eagan, MN 55121
American Journal of Infection Control
University of Minnesota of Mnpls-St Paul, Minneapolis, Minnesota