6.18 TB Flashcards
What is the Tuberculous surveillance program?
BUMEDINST 6224.8C
What are the ELEMETS of the TB control program?
TB screening Preventive therapy TB case ID TB patient Managing Contact investigation
What are the test used to ID people exposed to TB
TST- Mantoux method
Interferon gamma release assay (quantiferon gold)
What is needed for a TST
Tuberculin, Purified protien derivitive (PPD)
Tween 80 stablized intermediate strength PPD
Tubersol is preffered
Aplisol-alternate product
1ml syringe with 1/4-1/2in needle
When will you use the Quantiferon gold test?
all instances you would use TST
You should use it in place of a TST not in addition too.
What is Mycobacterium TB
Bacteria that causes latent TB and active TB
Active TB disease?
an illness which TB bacteria are multiplying and attacking parts of the body normally the lungs
Latent TB infection
TB bacteria are alive but inactive in the body
Pt don’t feel sick, don’t show sxs and usually have a positive TB tested cant spread to other people
Define BCG
Vaccine named after French scientist who developed it Calmette and Guerin
rarely used in the US but often given to kids an infants in other countries
Latent TB treatment
Frequency of PPD testing
those entering Active duty
those begging employment as CIVMAR for MSC
no documentation of testing
What do you do need when someone has a reaction to the PPD and a past history of the disease
Clinical evals
Hospitalizations
Diagnosis
Treatment
Periodic screening of TB
AD-PHA and NAVMED 6224/8 CIVMAR- During periodic physical those at risk for TB or when direct by CO contact or outbreak investigation Clinically indicated recommended by the NEPMU
When do you order a chest X-ray
clinically indicated
rule out TB or fibrotic change
