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Costs of implementing a tuberculosis control plan: a complete education module that uses a train-the-trainer concept
E Trovillion1, D Murphy, J Mayfield
1Quality Management Department, Barnes-Jewish Hospital at Washington University Medical Center, BJC Health System, St. Louis, MO, USA.
American Journal of Infection Control
|June 25, 1998
Summary
Healthcare facilities must train staff on tuberculosis (TB) transmission and prevention. A train-the-trainer approach effectively disseminated TB knowledge, though large-scale training is resource-intensive.
Area of Science:
- Public Health
- Infectious Disease Control
- Occupational Health
Background:
- Tuberculosis (TB) cases increased 14% between 1985-1993, necessitating updated prevention strategies.
- Centers for Disease Control and Prevention (CDC) issued guidelines in 1994 for TB transmission prevention in healthcare settings.
- Multidrug-resistant TB and regulatory enforcement mandated widespread healthcare worker training.
Purpose of the Study:
- To develop and implement a large-scale tuberculosis training program for healthcare staff.
- To assess the feasibility and initial outcomes of a train-the-trainer tuberculosis control plan.
Main Methods:
- A tuberculosis control plan utilized a train-the-trainer model.
- Training content covered TB pathology, transmission, epidemiology, skin testing, and isolation protocols.
- Hospital risk assessments informed training needs and target staff.
Main Results:
- 146 trainers were educated within 4 days.
- 66% of required staff (1989/3000) were trained in the subsequent quarter.
- The program cost approximately $26,000 and required 1600 person-hours.
Conclusions:
- Tuberculosis training should prioritize high-risk areas like ICUs, EDs, and acute medicine wards.
- Large-scale training demands significant time and financial resources.
- Linking training evaluation to Occupational Safety and Health Administration (OSHA) compliance and hospital quality indicators is recommended.