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Volume 16 - May 1995

Contents

Page 1 of 17

Letters to the Editor

  • Contaminated Foods in Healthcare Facilities
  • Steven Brooks, S. Malcolm, P. Lamont, A. Khan, B. Madahar, R. Hameed
  • Published online by Cambridge University Press: 02 January 2015, p. 675
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  • Meaningful Measurement of Compliance
  • David Birnbaum
  • Published online by Cambridge University Press: 02 January 2015, pp. 3-4
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Editorial

  • Nosocomial Pertussis in the Nineties
  • James D. Cherry
  • Published online by Cambridge University Press: 02 January 2015, pp. 553-555
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Letters to the Editor

  • Potential Consequences of Using Aplisol Tuberculin Tests in Prior Epidemic Investigations
  • Bruce P. Lanphear
  • Published online by Cambridge University Press: 02 January 2015, p. 255
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Editorial

  • The Expanding Horizons of Infection Control
  • Charles W. Stratton
  • Published online by Cambridge University Press: 02 January 2015, pp. 192-193
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Letters to the Editor

  • Hepatitis C Virus Infection in Healthcare Workers
  • Vincenzo Puro, Nicola Petrosillo, Giuseppe Ippolito, Janine Jagger
  • Published online by Cambridge University Press: 02 January 2015, pp. 324-325
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Abstracts of Late-Breaking Reports

Letters to the Editor

  • A Cluster of MRSA – The Little Outbreak That Wasn't
  • Robert M. Bannatyne, Barbara A. Wells, Susan A. MacMillan, Mary C. Thibault
  • Published online by Cambridge University Press: 02 January 2015, p. 380
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Editorial

  • Where Are We in Tuberculosis Infection Control?
  • Michael L. Tapper
  • Published online by Cambridge University Press: 02 January 2015, pp. 125-128
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Letters to the Editor

  • A Thank You to SHEA
  • Linda Rosenstock
  • Published online by Cambridge University Press: 02 January 2015, p. 495
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  • Enterobacter Plasmids: Molecular Epidemiology (with Reply)
  • Joseph F. John, Jr, William R. Jarvis
  • Published online by Cambridge University Press: 02 January 2015, p. 63
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  • The Expanding Horizons of Infection Control
  • John T. Sinnott, Peggy Thompson
  • Published online by Cambridge University Press: 02 January 2015, p. 620
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  • The authors reply
  • Bruce P. Lanphear, Calvin C. Linnemann, Jr
  • Published online by Cambridge University Press: 02 January 2015, pp. 325-326
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Editorial

  • Vancomycin-Resistant Enterococci: Pervasive and Persistent Pathogens
  • John M. Boyce
  • Published online by Cambridge University Press: 02 January 2015, pp. 676-679
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Letters to the Editor

  • The New 16-Towel Test Pack: Is It a Challenge to the Sterilizer?
  • Nathan L. Belkin
  • Published online by Cambridge University Press: 02 January 2015, pp. 495-496
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  • CDAD Rates (with Reply)
  • Farrin A. Manian, Lynn Meyer, Mary M. Olson, Carol J. Shanholtzer, James T. Lee, Jr, Dale N. Get-ding
  • Published online by Cambridge University Press: 02 January 2015, pp. 63-65
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Original Articles

  • SHEA-CDC TB Survey, Part I: Status of TB Infection Control Programs at Member Hospitals, 1989-1992
  • Scott K. Fridkin, Lilia Manangan, Elizabeth Bolyard, The Society for Healthcare Epidemiology of America, William R. Jarvis
  • Published online by Cambridge University Press: 02 January 2015, pp. 129-134
  • View abstract
    Objective:

    To determine trends in Mycobacterium tuberculosis infection in healthcare workers, tuberculosis (TB) control measures, and compliance with the 1990 Centers for Disease Control and Prevention (CDC) guideline for preventing transmission of TB in healthcare facilities.

    Design:

    Voluntary questionnaire sent to all members of the Society for Healthcare Epidemiology of America, representing 359 hospitals.

    Results:

    Respondents’ hospitals (210 [58%]) had a median of 2,400 healthcare workers (range, 396 to 13,745), 437 beds (range, 48 to 1,250), 5.6 patients with TB per year (range, 0 to 492), and 0 multidrug-resistant (MDR) TB patients per year (range, 0 to 33). Of 166 respondents’ hospitals for which data were provided for 1989 through 1992, the number caring for MDR-TB patients increased from 10 (6%) in 1989 to 49 (30%) in 1992. Reported policies for routine healthcare worker tuberculin skin testing varied. The median skin-test positivity rate for healthcare workers at the time of hire increased from 0.54% in 1989 to 0.81% in 1992, but the median conversion rate during routine testing remained similar: 0.35% in 1989 and 0.33% in 1992. Among 196 hospitals with reported data on respiratory protection use for 1989 through 1992, the use of either surgical submicron, dust-mist, or dust-fume-mist respirators for healthcare workers increased from 9 (5%) in 1989 to 85 (43%) in 1992. Of 181 hospitals with reported data, 113 (62%) had acid-fast bacilli isolation facilities consistent with the 1990 CDC guideline (ie, a single patient room, negative air pressure relative to the hallway, air exhausted directly outside, and ≥ 6 air exchanges per hour).

    Conclusions:

    While the number of surveyed hospitals caring for TB and MDR-TB patients increased during 1989 through 1992, TB infection control measures at many hospitals still did not meet the 1990 CDC guideline recommendations.

Letters to the Editor

  • Additional Pointers for Preparing for a JCAHO Inspection
  • Sue M. Parini
  • Published online by Cambridge University Press: 02 January 2015, p. 440
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Page 1 of 17