Tb Control Program Flashcards
What is the purpose of the TB control program?
Provide guidelines for tb control program of screening.
Preventive therapy
Case Id and treatment
Contact investigation
Bumedinst 6224.8
Tuberculosis control program
How many cases of tb cases occur annually in the US?
20,000
What does PPD
purified protein derivative
What is the most sensitive and specific to administer a ppd.
Mantox method
What bacterium causes tuberculosis?
Mycobacterium tuberculosis
What preventive therapy is most effective measure to prevent the development of tv disease in newly infected person?
INH
What does preventive treatment do
Reduces the risk of disease does not totally eliminate it.
What term describe that a person has symptoms, signs, radio graphic or laboratory evidence of plumonary….
Active disease
What term describe that the person has no symptoms, signs or radiographic evidence of infection, as indicated by the presence of a positive tb skin test?
Tb infection
What is induration
An area around the site of tuberculin injection that is raised and firm to touch
What term described a person with an area of induration to a 5TU tuberculin skin test read in 48-72 hours
Tb reactor
What vaccines are made from live attenuated mycobacterium strains used in some countries
Bcg
What is the only approved tb skin material for the Mantoux test
The premixed tween 80 stabilized intermediate strength ppd (5 TU equivalent)
What type of a syringe and needle is used for the administration of the Mantoux test
Disposable 1ml 25 gauge 5/8 inch needle
What aspect of the forearm is the intradermal injection made
Collar
Who must read the tb skin test
An Mdr who is both trained and experienced
Where is the test result entered in the medical treatment record?
Sf 601 under sensitivity test
What must be done if a person returns more than 72 hours with induration is 0 to 14mm
Mars Not read and apply ppd to other arm
What is the antibiotic regimen of choice for tuberculosis preventive therapy
INH oral dose daily dose of 300 mg for adults and 10 mg for kids
How long should tb reactors with no risk for development of TB disease receive INH therapy
6 months
How long should tb reactors with Hiv infection and person with stable abnormal chest rad consistent with past TB receive INH
12 months
What are contraindications to preventive therapy with INH
Previous history of INH associated liver ingury. History of a severe adverse reaction to INH an acute liver disease of any etiology
