[MCOH-EH] ] t spot vs. quantiferon gold

[Darlene Sims]

Good afternoon,

We changed our process from 2 step PPD to TSPOT approximately 2 years ago and well worth the change. Our main reason for the TSPOT vs QFT was due to local and state health department also use TSPOT; however, in studies the TSPOT had a slightly higher sensitivity in latent TB. Prior to the change, 
 Our protocol was to obtain a QFT if 2 step PPD or post exposure PPD was positive. The employee had to be sent to outpatient lab for collection at the hospital because of the number of tubes and specific instructions as to how the specimen needed to be drawn, then shook and put up. I did speak to a rep recently in regards to QFT and was told this what no the case anymore, though we have elected to continue with TSPOT. The collection, packaging and shipping have been a simple process that my staff has enjoyed. 
Hope this helps. 

Thank You, 

Darlene Sims MSN,FNP-C
Director of Infirmary Employee Health
Locations at MIMC, Thomas Hospital ,NBI &ACH 
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-5957 fax (251)435-3067
Thomas Hospital (251)279-1605 fax (251)279-1606
NBI (251)937-5521 ext 1860
ACH (251)368-6314
darlene.sims at infirmaryhealth.org

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Sent: Tuesday, October 04, 2016 2:00 PM
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Subject: MCOH-EH Digest, Vol 251, Issue 296

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Today's Topics:

   1.  t spot vs. quantiferon gold (Whitney Shores)
   2. Re:  high dose flu vaccine for employees over age 65
      (Hudson, T. Warner)
   3. Re:  high dose flu vaccine for employees over age 65
      (April Tainter)


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Message: 1
Date: Tue, 4 Oct 2016 12:47:49 +0000
From: Whitney Shores <Whitney.Shores at jackson.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] t spot vs. quantiferon gold
Message-ID:
	<73E2B54BB8B82C498FA5A9CAD1D06AD51E0295 at EX2K10-MBX1.jacksonhospital.net>
	
Content-Type: text/plain; charset="us-ascii"

Good Morning,

I am currently researching t spot vs quantiferon gold in the hopes of transitioning our facility to one of these.  Suggestions,  experience, or comments are greatly appreciated.

Whitney Shores RN
Employee Health & Wellness Coordinator
Jackson Hospital and Clinic
Montgomery, AL
Whitney.shores at jackson.org<mailto:Whitney.shores at jackson.org>
Office 293-8939
Fax 293-8929
[cid:image001.jpg at 01D1C89B.CBB57D10]



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Message: 2
Date: Mon, 3 Oct 2016 20:44:15 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] high dose flu vaccine for employees over age 65
Message-ID:
	<BN6PR12MB14110413E8F0A1BDDE08AFA48EC20 at BN6PR12MB1411.namprd12.prod.outlook.com>
	
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We have offered High Dose for at least 3 years for our 65+ population and many takers

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID 27132 E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sarah Kemble via MCOH-EH
Sent: Monday, October 03, 2016 12:16 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Sarah Kemble <skemblemd at aol.com>; mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] high dose flu vaccine for employees over age 65

We provide it but following ACIP guidelines, do not recommend compared to the trivalent normal-dose alternative.  Looking forward to more clinical data - beyond different antibody responses.
Sarah Kemble, MD, MPH
Chief of Medicine
VA Central Western Massachusetts Healthcare System

Sent from my iPhone

On Oct 3, 2016, at 2:19 PM, "Van Rhijn, Dorothyann" <dorothyann.vanrhijn at yale.edu<mailto:dorothyann.vanrhijn at yale.edu>> wrote:
Does anyone provide or recommend the high dose flu vaccine at their employer sponsored flu clinics for their employees over age 65?

Dorothyann van Rhijn M.D.
Chief, Employee Health
Yale Health
P.O. box 208237
New Haven, CT. 06520
203-432-7978

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Message: 3
Date: Mon, 3 Oct 2016 19:09:19 +0000
From: April Tainter <April.Tainter at thedacare.org>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] high dose flu vaccine for employees over age 65
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	<721C88E9C3C2614C9C6189231FA4750A2B911331 at EXCHMB4.ad.local>
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Yes.  We provide high dose for employees and volunteers.

April Tainter RN
Employee Health Nurse

[Description: Description: Description: cid:image001.png at 01D0D11B.A449DA50]

ThedaCare Medical Centers-Shawano/New London/Waupaca P 715-701-0168 F 715-524-9983

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From: MCOH-EH [mailto:mcoh-eh-bounces+april.tainter=thedacare.org at mylist.net] On Behalf Of Van Rhijn, Dorothyann
Sent: Monday, October 03, 2016 1:20 PM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] high dose flu vaccine for employees over age 65

Does anyone provide or recommend the high dose flu vaccine at their employer sponsored flu clinics for their employees over age 65?

Dorothyann van Rhijn M.D.
Chief, Employee Health
Yale Health
P.O. box 208237
New Haven, CT. 06520
203-432-7978





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End of MCOH-EH Digest, Vol 251, Issue 296
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