BUMEDINST 6224.8, TUBERCULOSIS CONTROL PROGRAM; ENCLOSURE 1, 2 Flashcards
What is the purpose of the TUBERCULOSIS CONTROL PROGRAM?
To provide policy and guidance for controlling tuberculosis (TB) among
Department of the Navy (DON) military personnel and Military Sealift Command (MSC)
civilian mariners (CIVMAR).
Tuberculosis control efforts for other populations (e.g., health
care workers, DON civilians, eligible beneficiaries, inmates of detention and confinement facilities, etc.) are to be guided by and consistent with current?
U.S. Centers of Disease Control
guidance and applicable Federal laws
Navy and Marine Corps personnel often
operate in areas of the world where there is a ____________ of TB infection.
high revalence
What ways can significantly reduce the chance of TB infection to others?
early detection and respiratory isolation
For medical record and information gathering purposes we provide which form?
NAVMED 6224/7
Which form is used for Initial Tuberculosis Exposure Risk Assessment?
NAVMED 6224/8
Which form is used for Interim Tuberculosis
Exposure Risk Assessment?
NAVMED 6224/9
Who shall ensure subordinate medical treatment facilities (MTF’s) maintain an effective tuberculosis control program.
Navy Medicine region commanders
Skin and blood tests are available for identifying individuals asymptomatically infected with the __________________ complex bacteria that cause TB.
Mycobacterium Tuberculosis
These individuals are at increased risk for developing active TB, and should be treated to reduce their risk for developing active disease and transmitting TB infection to others.
Latent Tuberculosis Infection (LTBI).
Personnel diagnosed with LTBI based on a positive skin or blood test and without active disease are ____________.
infectious
Screening or testing documented within ____ months prior to reporting aboard a commissioned vessel is acceptable. Once reporting aboard, paragraph 3 applies.
6
What does PPD mean?
Purified Protein Derivative
Recording Administration. Record the following information on the ____________, Adult Immunization Record.
NAVMED 6230/4
Record the following information on the ____________, Child Immunization Record
NAVMED 6230/5
The TST reaction must be read within ___________ after PPD
administration.
48 to 72 hours
The TST reaction must be read within 48 to 72 hours after PPD
administration. Measure induration to the nearest ____________.
whole millimeter (mm)
If a person returns more than 72 hours after TST placement, record the result as _________________.
“Not Read” and apply a TST on the opposite forearm.
Positive TST. Service members with a __________TST undergoing further evaluation should not deploy until the evaluations are completed and all results have been reported (for example, chest X-ray, Mycobacterium cultures, etc.).
positive
The most useful step in reducing the likelihood of
interpreting a boosted response as evidence of a new infection such as in older health care workers entering a military treatment facility screening program.
Two-Step Procedure
TSTs are both _____________ throughout pregnancy and should be
administered as appropriate.
safe and reliable
