caa a22 4500 388034866 CHVBK 20180307125001.0 cr unu---uuuuu 161130e199809 xx s 000 0 eng 10.1086/647888 doi S0195941700005750 pii (NATIONALLICENCE)cambridge-10.1086/647888 The Costs of Healthcare Worker Respiratory Protection and Fit-Testing Programs [Elektronische Daten] Abstract Objective: We studied hospital costs associated with healthcare worker (HCW) respiratory protection and respirator fit-testing programs recommended by the Centers for Disease Control and Prevention (CDC) and mandated by the Occupational Safety and Health Administration to decrease nosocomial or occupational Mycobacterium tuberculosis (TB). Design: The number and cost of high-efficiency particulate air (HEPA)-filter and dust-mist (DM) respirators for 1989 to 1994 were obtained from study hospital purchasing departments, and the costs of HCW fit-testing and education programs for 1994 were estimated from information provided by infection control practitioners. Costs of N-class respirator programs were estimated for study hospitals using retrospective cost analysis and an observational study. Setting: Four urban hospitals with, and one rural community hospital without, documented nosocomial or occupational transmission of multidrug-resistant TB. Results: During the study period, four of five hospitals introduced HEPA and DM respirators and respirator education and fit-testing programs. Median costs in 1994 were $83,900 (range, $2,000-$223,000) for respirators and $17,187 (range, $8,736-$26,175) for respiratory fit-testing programs. The projected median annual cost of N95 respirators was $62,023 (range, $270-$422,526). Conclusions: Compliance with CDC TB guidelines may require a substantial investment. However, outlays for respirators and education and fit-testing programs are more reasonable than would be suggested by analyses that estimated the costs of preventing one case of nosocomial TB Copyright © The Society for Healthcare Epidemiology of America 1998 Kellerman Scott E. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia Tokars Jerome I. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia Jarvis William R. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia Infection Control & Hospital Epidemiology Cambridge University Press 19/9(1998-09), 629-634 0899-823X 19:9<629 1998 19 ICE https://doi.org/10.1086/647888 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1086/647888 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kellerman Scott E. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia NATIONALLICENCE 700 1- Tokars Jerome I. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia NATIONALLICENCE 700 1- Jarvis William R. Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia NATIONALLICENCE 773 0- Infection Control & Hospital Epidemiology Cambridge University Press 19/9(1998-09), 629-634 0899-823X 19:9<629 1998 19 ICE CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge