All employees that have a positive TB test. From what I remember from my TB training, even with treatment, there is a small chance that your TB can go active.

Bruce E. Cunha RN MS COHN-S

Manager, Employee Health and Safety

Marshfield Clinic

Marshfield WI.

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From: MCOH-EH [mailto:mcoh-eh-bounces+cunha.bruce=marshfieldclinic.org@mylist.net] On Behalf Of TePoel, Debra A
Sent: Thursday, July 10, 2014 8:21 AM
To: MCOH/EH; Abhijay Karandikar
Subject: Re: [MCOH-EH] (no subject)

Hello,

Are you doing the annual symptom questionnaire on all employee’s with history of positive TB or only those groups identified by your annual TB risk assessment?

Thanks for your assistance,

Deb TePoel, BSN

RN Clinician • Employee Health Services • Abbott Northwestern Hospital

Phone: 612-863-0033 • Fax: 612-863-3674 • mailto:debra.tepoel@allina.com

Mail Route 15002 • 800 E. 28^th St. • Minneapolis, MN 55407

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Wednesday, July 09, 2014 2:23 PM
To: Abhijay Karandikar; MCOH/EH
Subject: Re: [MCOH-EH] (no subject)

We do a symptom survey annually and unless there is indication on that, we do not do any repeat CXR.

Bruce E. Cunha RN MS COHN-S

Manager, Employee Health and Safety

Marshfield Clinic

Marshfield WI.

From: MCOH-EH [mailto:mcoh-eh-bounces+cunha.bruce=marshfieldclinic.org@mylist.net] On Behalf Of Abhijay Karandikar via MCOH-EH
Sent: Wednesday, July 09, 2014 2:21 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] (no subject)

List,

I know there was a brief discussion on this a few months ago, but asking everyone's opinion again:

How often are you sending employees with LTBI and no Rx for CXR screening (q 3 years, q 5 years, etc.) and what evidence/guidelines are you basing these intervals on?

Thanks,

Abhijay P. Karandikar, MD, MPH, MRO

Medical Director - Occupational Medicine

Company MD - Pines Health Services

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