TB Infections Flashcards

1
Q

What is Tuberculosis?

A

It’s a highly contagious bacterial infection caused by mycobacterium tuberculosis that affects mainly the lungs BUT it can also affect the kidneys, brain, spine, joints, and liver.

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2
Q

What is the method of transmission for TB?

A

Airborne

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3
Q

True or False

All cases of TB must be reported to the state.

A

True

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4
Q

What is the incubation period for TB? Is a person contagious during this time?

A
  • 4-12wks
  • No
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5
Q

True or False

A person with HIV is at a lower risk for TB.

A

False, they are at a greater risk

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6
Q
A
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7
Q
A
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8
Q

What can result in a false positive test for TB?

A
  • Latent TB infection
  • Foreign born persons who received a BCG vaccine to prevent TB
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9
Q

TB s/s?

A
  • Fever, night seats, chills
  • SOB, progressive fatigue
  • Anorexia/weight loss
  • Lethargy
  • Nausea
  • Irregular menses
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10
Q

How is TB diagnosed?

A
  • TB skin test – indicative, not confirmed
  • For confirmation
    • X-ray
    • Blood assay
    • Presence of M. tuberculosis in cultures or
    • rapid nucleic acid test probes (this takes 2hrs)
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11
Q

How is the Mantoux (PPD) tuberculin test given, how is it evaluated and what does it indicate?

A
  • Via intradermal injection
  • An induration (hard swelling) reaction that is ≥ 10mm that occurs
  • Indicates TB exposure
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12
Q

True or False

A positive PPD test means you have TB.

A
  • False
  • Positive reaction does not mean that active disease is present but does indicate exposure to TB or dormant disease.
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13
Q

Why are PTs w/ HIV test for TB and vise verse?

A

Because ¼ of those with HIV or TB will get the other

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14
Q

All patients suspected of or confirmed to have TB should be placed in _____ _____ until they are no longer infectious.

A

Airborne isolation

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15
Q

When should a PT w/ TB wear a mask?

A

Anytime they are outside of their room

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16
Q

What is the PT teaching for those with TB?

A
  • Importance of regular follow-up visits
  • Following and completing the treatment regimen exactly as prescribed
  • Adverse effects to be reported
  • Signs and symptoms of recurring TB
17
Q

What precautions are taken w/ TB patients in the hospital?

A
  • Negative pressure room
  • Caregivers must wear respirators and take airborne precautions
  • Strict hand hygiene
18
Q

Persons who have been exposed to an infected patient should…

A

Be tested for TB

19
Q

What is MDR-TB and what is the significance?

A
  • Multi-drug resistant TB
  • Must be treated w/ at least THREE TB drugs
20
Q

What are the main two drugs used to treat TB?

A
  • Isoniazid
  • Rifampin
21
Q

How long will TB drug therapy last?

A

6-12 months

22
Q

How is a patient declared free of TB?

A

Once sputum cultures test NEGATIVE for the presence of the M. tuberculosis bacteria