unit 6-18 Tuberculosis Surveillance and Control Flashcards
what instruction governs the TB surveillance and control program
BUMEDINST 6224.8 series
list the elements of TB Control Program
TB screening Preventive Therapy Tuberculosis Case Identification TB patient management Contact investigation
Tuberculin Skin Test method
Mantoux
what are the tuberculin PPD products? which is preferred
Tubersol- preferred
Aplisol
bacteria that causes latent and active TB
mycobacterium tuberculosis
illness in which TB bacteria are multiplying and attacking a part of the body, usually the lungs
active TB disease
TB bacteria are alive but inactive in the body
no symptoms and don’t feels like, cant spread
latent TB infection
treatment for LATENT TB INFECTION
regimen of choice= Isoniazid (INH) and Rifapentine (RPT) weekly oral dose of INH 15mg/kg (900 max) and RPT BASED OFF WEIGHT 10-14kg; 300mg, 14-25kg(450mg), 25-32kg(600mg), 32-49kg (750mg), >50kg (900mg max) for 3 months
or Rifampin (RIF) daily oral 10mg/kg max 600mg for 4 months
or INH and RIF oral daily INH 5mg/kg(300mg max) and RIF 10mg/kg (600mg max) for 3 months
when should a chest x-ray be performed during Tb screening
if clinically indicated
rule out active TB or fiberotic changes
initial isoniazid (INH) preventative therapy evaluation TB high risk classification
induration 5mm or greater
- RECENT CLOSE CONTACT
- FIBEROTIC OR CHANGES IN CHEST X-RAY CONSISTENT WITH PRIOR TB
- SUSPECT ACTIVE TB
TB medium risk classification
10mm induration
IMMIGRATION WITHIN 5 YEARS FROM HIGH TB COUNTRIES
RISK OF OCCUPATIONAL EXPOSURE TO TB
CLINICAL CONDITIONS THAT PLACE AT INCREASED RISK
TB Low risk classification
15mm or greater induration
NO TB RISK FACTORS
WHAT IS THE STANDARD METHOD OF ADMINISTERING PPD FOR DETECTING LATENT TB?
Mantoux Method
dose for PPD Mantoux method
0.1 mL intradermal injection site clean and dry bevel up, 5-15* angle pale wheal 6-10mm appears on skin no wheal administer again
when and how to read and where to record PPD?
48-72 hours
measure induration in the nearest whole mm at widest diameter
NAVMED 6230/4 or DD form 2766
enter into AHLTA, MRRS or SAMS
