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Current Approach to Latent Tuberculosis Diagnosis and Treatment among Medical Center Occupational Health Physicians

Published online by Cambridge University Press:  02 January 2015

Christopher Vinnard*
Affiliation:
Drexel University College of Medicine, Philadelphia, Pennsylvania
Darren Linkin
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Amy Behrman
Affiliation:
Division of Occupational Medicine, Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
*
Division of Infectious Diseases and HIV Medicine, Drexel University College of Medicine, 245 North 15th Street, MS 461, New College Building 6314, Philadelphia, PA 19102 ([email protected])

Abstract

We surveyed physicians in a national occupational medicine society regarding diagnosis of latent tuberculosis infection in healthcare workers. Most respondents used a combination of skin testing and interferon gamma release assays. Respondents integrating interferon gamma release assays into screening placed greater importance on employee acceptability and convenience.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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References

1.Dooley, SW JrCastro, KG, Hutton, MD, Mullan, RJ, Polder, JA, Snider, DE JrGuidelines for preventing the transmission of tuberculosis in health-care facilities, with special focus on HIV-related issues. MMWR Recomm Rep 1990;39(RR-17):129.Google Scholar
2.Bangsberg, DR, Crowley, K, Moss, A, Dobkin, JF, McGregor, C, Neu, HC. Reduction in tuberculin skin-test conversions among medical house staff associated with improved tuberculosis infection control practices. Infect Control Hosp Epidemiol 1997;18:566570.Google Scholar
3.Jensen, PA, Lambert, LA, Iademarco, MF, Ridzon, R. Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare settings, 2005. MMWR Recomm Rep 2005;54(RR-17):1141.Google Scholar
4.Jasmer, RM, Nahid, P, Hopewell, PC. Clinical practice. Latent tuberculosis infection. N Engl J Med 2002;347:18601866.Google Scholar
5.Joseph, HA, Shrestha-Kuwahara, R, Lowry, D, et al.Factors influencing health care workers' adherence to work site tuberculosis screening and treatment policies. Am J Infect Control 2004;32:456461.Google Scholar
6.Salazar-Schicchi, J, Jedlovsky, V, Ajayi, A, Colson, PW, Hirsch-Moverman, Y, El-Sadr, W. Physician attitudes regarding bacille Calmette-Guérin vaccination and treatment of latent tuberculosis infection. Int J Tuberc Lung Dis 2004;8:14431447.Google Scholar
7.Sahni, R, Miranda, C, Yen-Lieberman, B, et al.Does the implementation of an interferon-gamma release assay in lieu of a tuberculin skin test increase acceptance of preventive therapy for latent tuberculosis among healthcare workers? Infect Control Hosp Epidemiol 2009;30:197199.Google Scholar
8.Mancuso, JD, Mazurek, GH, Tribble, D, et al.Discordance among commercially available diagnostics for latent tuberculosis infection. Am J Respir Crit Care Med 2012;185:427434.Google Scholar
9.Sinkowitz, RL, Fridkin, SK, Manangan, L, Wenger, PN, Jarvis, WR. Status of tuberculosis infection control programs at United States hospitals, 1989 to 1992. APIC. Am J Infect Control 1996;24:226234.Google Scholar
10.Villarino, ME, Mazurek, G. Tuberculosis contacts, concerns, and controls: what matters for healthcare workers? Infect Control Hosp Epidemiol 2006;27:433435.Google Scholar