BUMEDINST 6224.8B Tuberculosis Control Program Flashcards
NAVMED 6224/8
Interim tuberculosis exposure risk assessment
NAVMED 6224/7
Initial tuberculosis exposure risk assessment
NAVMED 6224/9
Monthly evaluation for patients receiving treatment for latent tuberculosis infection
Responsibilities of navy Medicine region commanders
Navy medicine region commanders shall ensure subordinate medical treatment facilities maintain and effective TB control program
Responsibilities of commanders, commanding officers, officers in charge of MTFs and fleet or fleet marine force surgeons
Control TB in their supported populations by managing local efforts in accordance with this directive and current American thoracic society, center for disease control and prevention, world health organization guidelines outlines in reference (b) through (h)
Responsibilities of officers in charge of NAVENPVNTMEDS
- Provide technical support as needed to all navy and marine corp units In their geographic area of responsibility
- Conduct contact investigation of all active TB cases within the DON in their AOR
SF 600 (11/2010)
Medical record-chronological record of medical care
NAVMED 6230/4
Adult immunizations record
NAVMED 6230/5
Child immunizations record
How long after PPD is administered does the TST reaction need to be read?
48 to 72 hours
Where do you record TST test result?
NAVMED 6230/4 or 6230/5
AHLTA, MRRS, or SAMS
Evaluate all individuals with TST induration greater than what?
5mm
An increase greater than what mm within a three year period is considered positive or a skin test converter?
10mm or more
High risk
Reaction > 5mm is considered positive for recent close contact of active TB disease patient, person with fibrotic or other changes on chest radiograph consistent with prior TB, patient suspected of having active TB disease
Medium risk
Reaction > 10mm considered positive in recent immigrants from high TB prevalence, mycobacteriology laboratory personnel, person with clinical conditions that place them at increased risk