Sacks J J, Olson B, Soter J, Clark C
JAMA. 1983 May 20;249(19):2675-8.
One year after voluntary guidelines on rubella screening of hospital employees were issued by the Arizona Department of Health, a survey of 68 members of the Arizona Hospital Association was conducted, with an 81% response. Some form of employee rubella screening was present in only 49% of responding hospitals. Of the screening hospitals, 70% of programs had a mandatory aspect for selected employees. Administrative logistics, cost, problems encountered, and the quality and coverage of the program varied substantially among the different hospitals. Fewer than half of the screening hospitals had programs for physicians, students, or volunteers. Verbal histories of immunization or serological tests, although notoriously unreliable, were accepted by 14% of the screening hospitals. Half of the nonscreening hospitals plan to implement programs in the future. Reasons given for not establishing rubella screening programs include cost, no pediatric or obstetric service, liability issues, high turnover, and no previous case of rubella in an employee. Three hospitals (all screening) reported they had had a case of rubella in an employee. The data suggest slow partial compliance with recommendations for rubella screening in hospitals.
亚利桑那州卫生部发布医院员工风疹筛查自愿性指南一年后，对亚利桑那州医院协会的68名成员进行了调查，回复率为81%。在回复的医院中，只有49%进行了某种形式的员工风疹筛查。在进行筛查的医院中，70%的项目对特定员工有强制要求。不同医院在行政后勤、成本、遇到的问题以及项目的质量和覆盖范围方面差异很大。不到一半的筛查医院为医生、学生或志愿者制定了项目。14%的筛查医院接受了口头免疫史或血清学检测，尽管其可靠性很差。一半的未筛查医院计划在未来实施相关项目。未建立风疹筛查项目的原因包括成本、没有儿科或产科服务、责任问题、员工流动率高以及员工中此前没有风疹病例。三家医院（均进行了筛查）报告称其员工中出现过风疹病例。数据表明医院对风疹筛查建议的遵守情况进展缓慢且参差不齐。
