I’m crossposting with MCOH and OEM-L.
I am reviewing our TB surveillance program policies that I inherited when I came on board here. The current policy, I discovered, states that for persons with a history of a positive PPD in the past but no documentation, or for those
with a history of BCG immunization, that they be administered 2.5 TU rather than 5.
Apparently “it’s always been done that way” but I am at a loss to find any guidance that supports this. Any insight appreciated.
I’m also on a quest to review the literature on adverse reactions to tuberculin. Seems like there are a lot of “urban myths” that need to be dispelled. If anyone’s assembled a bibliography that could save me some time, that they’d be
kind to share, it would be a huge favor.
Thanks
Ed Galaid
Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, RSF Workforce Health Solutions
Roper St . Francis Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519