Why need to havetb Clearance. To Control and Prevent Tuberculosis

Similar documents
TB Skin Test Practicum Houston, Texas Region 6/5 South September 23, 2014

Understanding and Managing Latent TB Infection Arnold, Missouri October 5, 2010

PEDIA MANOR POLICY AND PROCEDURE MANUAL

LATENT TUBERCULOSIS. Robert F. Tyree, MD

Latent Tuberculosis Best Practices

Fundamentals of Tuberculosis (TB)

New Entrant Screening and Latent TB Get screened and find out if you have TB infection before you develop TB disease!

Self-Study Modules on Tuberculosis

Northwestern Polytechnic University

Diagnosis Latent Tuberculosis. Disclosures. Case

Stop TB Poster (laminated copies are available from TB Control: )

Diagnosis and Medical Management of Latent TB Infection

Proposed Regs.pdf

What Drug Treatment Centers Can do to Prevent Tuberculosis

Tuberculosis Populations at Risk

Chapter 5 Treatment for Latent Tuberculosis Infection

Symptoms Latent TB Active TB

Tuberculosis What you need to know. James Zoretic M.D., M.P.H. Regions 2 and 3 Director

TUBERCULOSIS. Presented By: Public Health Madison & Dane County

Replaces: 02/11/16. Formulated: 7/95 EMPLOYEE TB TESTING

Tuberculosis Facts. TB is not spread by: Sharing food and drink Shaking someone s hand Touching bed lines or toilet seats

New NICE guideline updates recommendations for diagnosing latent tuberculosis

Targeted Testing and the Diagnosis of. Latent Tuberculosis. Infection and Tuberculosis Disease

TB In Detroit 2011* Early TB: Smudge Sign. Who is at risk for exposure to or infection with TB? Who is at risk for TB after exposure or infection?

Etiological Agent: Pulmonary Tuberculosis. Debra Mercer BSN, RN, RRT. Definition

Latent Tuberculosis Infection Reporting Instructions for Civil Surgeons Using CalREDIE Provider Portal

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

Table 9. Policy for Tuberculosis Surveillance and Screening

FLORIDA DEPARTMENT OF JUVENILE JUSTICE DETENTION SERVICES FACILITY MEDICAL POLICIES

Tuberculosis Screening and Targeted Testing of College and University Students: Developing a Best Practice Approach:

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

Primer on Tuberculosis (TB) in the United States

Tuberculin Skin Testing

Chapter 7 Tuberculosis (TB)

Tuberculin Purified Protein Derivative (Mantoux) Biological Page

Diagnosis and Medical Management of TB Infection Lisa Y. Armitige, MD, PhD September 12, TB Nurse Case Management September 12 14, 2017

Investigation of Contacts of Persons with Infectious Tuberculosis, 2005

TUBERCULOSIS CONTACT INVESTIGATION

TB is Global. Latent TB Infection (LTBI) Sharing the Care: Working Together. September 24, 2014

Management of Pediatric Tuberculosis in New Jersey

Please distribute a copy of this information to each provider in your organization.

Barbara J Seaworth MD Medical Director, Heartland National TB Center Professor, Internal Medicine and Infectious Disease UT Health Northeast

CHAPTER 3: DEFINITION OF TERMS

Contracts Carla Chee, MHS May 8, 2012

Community pharmacy-based tuberculosis skin testing

Core Curriculum on Tuberculosis: What the Clinician Should Know

PREVENTION OF TUBERCULOSIS. Dr Amitesh Aggarwal

Contact Investigation

Infection Prevention Prevention and Contr

Latent TB, TB and the Role of the Health Department

Tuberculosis 6/7/2018. Objectives. What is Tuberculosis?

"GUARDING AGAINST TUBERCULOSIS IN INSTITUTIONAL FACILITIES"

What You Need to Know About. TB Infection TUBERCULOSIS

2017/2018 Annual Volunteer Tuberculosis Notice

Screening for Tuberculosis Infection. Harlingen, TX. Linda Dooley, MD has the following disclosures to make:

Self-Study Modules on Tuberculosis

UC DavisTB Screening Requirement: How to submit your TB Health Assessment Form

Influenza Season Education

"GUARDING AGAINST TUBERCULOSIS IN HEALTHCARE FACILITIES"

All you need to know about Tuberculosis

(a) Infection control program. The facility must establish an infection control program under which it--

TB and Respiratory Protection

TUBERCULOSIS. What you need to know BECAUSE...CARING COMES NATURALLY TO US

TO BE COMPLETED BY APPLICANT. Name: Age: Birth Date: (First) (M.I.) (Last) Home Address: (Number and Street) (City) (State) (Zip) Address:

Latent tuberculosis infection

Tuberculosis (TB) and Infection Control PICNET Conference April 12, 2013

HEALTHWEST PROCEDURE. No Revised by: Effective: December 1, 1995 Revised: April 19, 2017 Environment of Care Committee

Preventing Tuberculosis (TB) Transmission in Ambulatory Surgery Centers. Heidi Behm, RN, MPH TB Controller HIV/STD/TB Program

TB Intensive San Antonio, Texas December 1-3, 2010

"GUARDING AGAINST TUBERCULOSIS AS A FIRST RESPONDER"

Tuberculosis and Diabetes Mellitus. Lana Kay Tyer, RN MSN WA State Department of Health TB Nurse Consultant

LTBI: Who to Test & When to Treat

Approaches to LTBI Diagnosis

Learning Objectives: Case 1 11/12/2015. Tuberculosis: Focus on Transmission and Pathogenesis. TB: Some Important Terms

These recommendations will remain in effect until the national shortage of PPD solution has abated.

Tuberculosis Pathogenesis

Tuberculosis Intensive

What you need to know about diagnosing and treating TB: a preventable, fatal disease. Bob Belknap M.D. Denver Public Health November 2014

Santa Clara County Tuberculosis Screening Requirement for School Entrance Effective June 1, 2014

Marguerite A. Erme, DO, MPH Medical Director Summit County Public Health October 9, 2016

Tuberculosis Tools: A Clinical Update

Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection (LTBI) Lloyd Friedman, M.D. Milford Hospital Yale University

Therapy for Latent Tuberculosis Infection

Infection Prevention and Control Annual Education Authored by: Infection Prevention and Control Department

Latent Tuberculosis Infection (LTBI) Questions and Answers for Health Care Providers

What is tuberculosis? What causes tuberculosis?

A Mobile Health Intervention Utilizing Community Partnership to Improve Access to Latent Tuberculosis Infection Treatment

Peggy Leslie-Smith, RN

STUDENT IMMUNIZATION POLICY

The Air We Share: Principles and Practices of TB Infection Control

Diagnosis and Medical Case Management of Latent TB. Bryan Rock, MD April 27, 2010

CHILDHOOD TUBERCULOSIS: NEW WRINKLES IN AN OLD DISEASE [FOR THE NON-TB EXPERT]

Tuberculosis & Refugees in Philadelphia

Advanced Concepts in Pediatric TB: Latent TB Infection

Making the Diagnosis of Tuberculosis

Overview of Contact Investigation Guidelines

CUSOM Student Health Immunization Requirements

Transcription:

Why need to havetb Clearance To Control and Prevent Tuberculosis

How to ID Tuberculosis There are two kinds of tests that are used to determine if a person has been infected with TB bacteria: the tuberculin skin test and TB blood tests(interferon Gamma ).

tuberculin skin test (also called a Mantoux tuberculin test) is done to see if you have ever been exposed to tuberculosis (TB). The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm.

How Can You Get TB? TB is a highly contagious bacterial infection that can quickly spread if not caught, isolated, and treated early. Tuberculosis is an airborne disease, and can be caught by breathing in the air that an infected person has contaminated through: Breathing Coughing Talking Singing Sneezing

But even if you've been around an infected person, or breathed in the bacteria they expelled into the air, you still have a chance at escaping TB not everyone who breathes in the bacteria will develop tuberculosis

Who's Most Contagious Who is most susceptible to TB Could you have TB and not know it

TB generally doesn't cause symptoms immediately. Instead, it goes through three stages: Primary TB infection Latent TB infection Active disease

Latent tuberculosis is a common bacterial infection that does not cause sickness or any symptoms, so you need a TB test to diagnose it. People with latent tuberculosis are not contagious, but they should be treated to reduce the chances of developing active disease

TB generally doesn't cause symptoms immediately. Instead, it goes through three stages: Primary TB infection Latent TB infection Active disease

In most people with TB, the condition is latent, meaning the bacteria are present in the body but are in a dormant state, neither making the person sick nor infecting others. Tuberculosis is more likely to enter the active phase in people who have acquired the infection recently (in the past two years).

When your TB skin test is negative: You don t have TB germs in your body. OR TB germs are not showing up in your body at this time. Sometimes the test may have been done too soon to show the TB germs.

If your TB skin test is negative, you still may need to have more tests if: You have been around someone with TB disease. Your TB skin test was within 8 weeks of your exposure to TB. You have signs of T B disease, like coughing, chest pain, fever, weight loss, or t iredness. You have HIV infection, since the TB skin test may not react the way it should.

A TST reaction of 5 mm of induration is considered positive in: HIV-infected persons Recent contacts of a person with infectious TB disease Persons with fibrotic changes on chest radiograph consistent with prior TB Patients with organ transplants and other immunosuppressed patients (including patients taking the equivalent of 15 mg/day of prednisone for 1 month or more or those taking TNF-α antagonists) A chest radiograph should be ordered as part of a medical evaluation for a person who has a positive TST or IGRA result.

A TST reaction of 10 mm of induration is considered positive in the following individuals: Recent arrivals to the United States (within last 5 years) from highprevalence areas Injection drug users Residents or employees of high-risk congregate settings (e.g., correctional facilities, long-term care facilities, hospitals and other health care facilities, residential facilities for patients with HIV infection/aids, and homeless shelters) Mycobacteriology laboratory personnel Persons with clinical conditions that increase the risk for progression to TB disease Children younger than 5 years of age Infants, children, and adolescents exposed to adults in high risk categories