Factors influencing health care workers' adherence to work site tuberculosis screening and treatment policies.

摘要: Background Despite the known risk of tuberculosis (TB) to health care workers (HCWs), research suggests that many are not fully adherent with local TB infection control policies. The objective this exploratory study was identify factors influencing HCWs' adherence policies for routine tuberculin skin tests (TSTs) and treatment latent (LTBI). Methods Sixteen focus groups were conducted clinical nonclinical staff at 2 hospitals departments. Participants segmented by TST or LTBI In-depth, qualitative analysis facilitators barriers adherence. Results Among all groups, common themes included perception mandatory, belief conducting TSTs work site facilitated adherence, a general misunderstanding about epidemiology pathogenesis. Adherent more commonly mentioned facilitators, such as periodic testing protective employee (EH) provision support services. Barriers, logistic difficulty in obtaining TST, harmful, distrust EH, emerged consistently nonadherent groups. Conclusions This information may be used develop effective interventions promoting HCW prevention Informed efforts can implemented coordination reevaluations EH programs prompted publication revised guidelines issued Centers Disease Control Prevention 2005.