Jayme

 

Thanks for sharing this approach. 

 

1)      Is it evidence based?

2)      What do you do with the patient/employee during the 1 month interim period? (Chest xray, symptom survey, and/or allowed to see patients?)

 

 

Thanks

 

mb

 

Michael Borkowski, MD, MPH

Medical Director, F&MCW Occupational Health Services

Phone:  414-777-1959  | Fax:  262-253-5152

Cell Phone:  414-881-3762           

E-mail: michael.borkowski@froedtert.com

 

Froedtert & the Medical College of Wisconsin

400 Woodland Prime

N74 W12501 Leatherwood Ct.

Menomonee Falls, WI 53051

 

froedtert.com

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Jayme Kasman
Sent: Monday, April 03, 2017 11:53 AM
To: Contact
Subject: Newsletter / Marketing: Re: [MCOH-EH] MCOH-EH Digest, Vol 252, Issue 115

 

We repeat quantiferon testing for low positives. 0.35-1.0 in 1 month. If the second test is positive, then the patient is considered positive.  If the second test is less than 0.35, then the patient is considered negative.

 

For our indeterminate results, we repeat in 1 month. If the second test is also indeterminate, then we administer at skin test. If the patient has not had another skin test in the last year, then we do a 2 step. The boosted result will be more accurate.


Jayme Kasman RN, MSN

Employee Health Nurse
Barton Occupational Health

P. 775.589.8935  F. 775.589.8987

jkasman@bartonhealth.org

www.bartonhealth.org

Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

 

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Friday, March 31, 2017 9:23 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB screening and indeterminates

I place a ppd at the same time I repeat the QFT

From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org@mylist.net] On Behalf Of Tara Dockery
Sent: Friday, March 31, 2017 12:12 PM
To: MCOH/EH <mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>>
Subject: Re: [MCOH-EH] TB screening and indeterminates

For our borderline we had one that was retested in a week, as per the protocol on the reference lab result, and it came back as borderline again. This was expensive, and time consuming. To remedy the situation we did a Mantoux PPD and that came out negative.

When we had an indeterminant employee (seemed to mention they may have had a low lymphocyte count??) rather than retesting the employee because she mentioned she had been taking a new kind of vitamin and supplement, so presuming the employee was healthy and we didn?t want to look into her lymphocyte count and open a can of worms, we decided there could have been an interfering substance and decided to use the old Mantoux skin test PPD, which also came back negative for her.

So in both scenarios, to save time and money, I do believe in the future we will back up with a Mantoux PPD.


This is what I found to work for us
Tara



Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health

Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624

tdockery@oceanbeachhospital.com<mailto:tdockery@oceanbeachhospital.com>
Office Phone  360 ? 642 - 6307
Cell Phone 509-760-7397
Fax  360-642-6309



From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Yvonne Noel
Sent: Friday, March 31, 2017 8:41 AM
To: MCOH/EH <mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>>
Subject: [MCOH-EH] TB screening and indeterminates

If you are using the  Quaniferon Gold test, would you mind sharing your reference ranges?  If you have set up a borderline or indeterminate reference range, can you tell me how individuals who test in this range  are managed, e.g. repeat testing in two months.


[cid:image019.png@01D01A13.D55BFA20]<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.childrens.com_&d=DwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=dnPaBJHqvYDZPD0PztdjO7tEYH2q5qe217Yftqn64bw&s=LHRUoprRdD5vHk8J9Af385AiQYsbPE2_-OjpRaFnowI&e=>

Yvonne Noel, RN, COHN-S, CIC
Manager
Occupational Health & Wellness
O: 214.456.8983
F: 214.456.2665
E: mary.noel@childrens.com<mailto:mary.noel@childrens.com>



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