[MCOH-EH] (no subject)

[TePoel, Debra A]

This is what I found on CDC website:
Persons Whose Condition is at High Risk for Progression From LTBI to TB Disease
The following persons are at high risk for progressing from LTBI to TB disease:
*         persons with a history of untreated or inadequately treated TB disease, including persons with chest radiograph findings consistent with previous TB disease.

HCWs with a baseline positive or newly positive test result for M. tuberculosis infection or documentation of previous treatment for LTBI or TB disease should receive one chest radiograph result to exclude TB disease. Instead of participating in serial testing, HCWs should receive a symptom screen annually. This screen should be accomplished by educating the HCW about symptoms of TB disease and instructing the HCW to report any such symptoms immediately to the occupational health unit. Treatment for LTBI should be considered in accordance with CDC guidelines (39<http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4906a1.htm>).

That answers my question. Thank you,

Deb TePoel, BSN
RN Clinician * Employee Health Services * Abbott Northwestern Hospital
Phone: 612-863-0033 * Fax: 612-863-3674 * mailto:debra.tepoel at allina.com<*%20mailto:debra.tepoel at allina.com>

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

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cunha, Bruce E.
Sent: Thursday, July 10, 2014 8:47 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] (no subject)

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.

ATTENTION: This e-mail is confidential and may contain confidential and /or personal information.  If you are not the intended recipient,  you must not disclose or use the information contained in it.  Please notify the sender of this e-mail and promptly delete this e-mail.

From: MCOH-EH [mailto:mcoh-eh-bounces+cunha.bruce=marshfieldclinic.org at 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 at allina.com<*%20mailto:debra.tepoel at allina.com>

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

From: MCOH-EH [mailto:mcoh-eh-bounces at 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.

ATTENTION: This e-mail is confidential and may contain confidential and /or personal information.  If you are not the intended recipient,  you must not disclose or use the information contained in it.  Please notify the sender of this e-mail and promptly delete this e-mail.

From: MCOH-EH [mailto:mcoh-eh-bounces+cunha.bruce=marshfieldclinic.org at mylist.net] On Behalf Of Abhijay Karandikar via MCOH-EH
Sent: Wednesday, July 09, 2014 2:21 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at 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,
AK

Abhijay P. Karandikar, MD, MPH, MRO
Medical Director - Occupational Medicine
Company MD - Pines Health Services
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