{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:01:38Z","timestamp":1767160898438,"version":"build-2238731810"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":6424,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[1997,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0195941700005166_abs1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine policies at children's hospitals regarding immunizations, annual tuberculosis (TB) screening, and blood or body fluid exposure follow-up, particularly as they apply to physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700005166_abs2\">\n                    <jats:title>Design and Participants:<\/jats:title>\n                    <jats:p>A three-page survey was sent to infection control practitioners (ICPs) in April 1994 at hospitals affiliated with the National Association of Children's Hospitals and Related Institutions. One follow-up mailing was sent to nonresponding ICPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700005166_abs3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Responses were received from 62 (67%) of 93 ICPs. Thirty-five (66%) of 53 children's hospitals had an immunity policy that applied to medical students, 42 (79%) of 53 to resident physicians, 32 (52%) of 62 to hospital-based physicians, and 18 (29%) of 62 to private or community physicians (who admit patients to one hospital). Physicians were required to show evidence of an annual TB screen at 36 hospitals (58%). Immunity policies or TB screening were provided for the following physician groups: medical students, 13 (21%); resident physicians, 43 (69%); hospital-based physicians, 50 (81%); and private or community physicians, 23 (37%). Infection control practitioners reported that the following diseases had been identified within the past 5 years at their hospitals: measles, 82%; mumps, 40%; rubella, 31%; TB, 94%; hepatitis B, 94%; pertussis, 90%; varicella, 98%; and influenza, 94%. Physicians in these institutions were reported to have contracted the following diseases from patient exposure: measles, hepatitis B, TB, pertussis, varicella, and influenza.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0195941700005166_abs4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Children's hospitals vary widely in their policies regarding healthcare-worker immunity, and, in many cases, physicians may not be protected from nosocomial transmission of community infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1086\/647638","type":"journal-article","created":{"date-parts":[[2009,9,16]],"date-time":"2009-09-16T14:10:39Z","timestamp":1253110239000},"page":"400-404","source":"Crossref","is-referenced-by-count":20,"title":["A Survey of Policies at Children's Hospitals Regarding Immunity of Healthcare Workers: Are Physicians 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