[MCOH-EH] TB testing and COVID-19 vaccine: update from CDC

[Richard Goldberg]

Thanks for sharing of this information.  Wendy - I was looking at the attached CDC link you sent but don't see the actual place where the information on TB tests and COVID vaccine timing is discussed.  Can you direct us to where in the CDC document it states your quote below (especially with Dr. Wendland's comments that suggest it may only apply to evaluation for TB infection and exposure)?

Thank you

​Please note that my email address has changed to richard.goldberg at envisionhealth.com

Richard Goldberg, MD MPH
Medical Director
United Occupational Medicine

Director of Occupational Medicine
Infinity Healthcare - Division of Envision Healthcare

________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Wendland, Douglas <Douglas.Wendland at slhduluth.com>
Sent: Tuesday, September 7, 2021 11:46 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Wendy Thanassi <wendy.thanassi at gmail.com>
Subject: [EXTERNAL] Re: [MCOH-EH] TB testing and COVID-19 vaccine: update from CDC


I believe that this was for evaluation for TB infection and exposure.  I don’t believe that there has been a change in the 4 week wait for those tested as part of “onboarding”.



Douglas M Wendland, MD, MPH

St. Luke's Occupational Medicine



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Thanassi, Wendy via MCOH-EH
Sent: Friday, September 03, 2021 1:07 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Thanassi, Wendy <Wendy.Thanassi at va.gov>; Wendy Thanassi <wendy.thanassi at gmail.com>
Subject: Re: [MCOH-EH] TB testing and COVID-19 vaccine: update from CDC



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Yes and Hallelujah (it should never have been published). Thanks for disseminating this.



From: MCOH-EH <mcoh-eh-bounces+wendy.thanassi=va.gov at mylist.net<mailto:mcoh-eh-bounces+wendy.thanassi=va.gov at mylist.net>> On Behalf Of Rolando, Lori
Sent: Thursday, September 2, 2021 5:51 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [EXTERNAL] [MCOH-EH] TB testing and COVID-19 vaccine: update from CDC



Hi all,



Just in case folks hadn’t seen this, wanted to let the list serve know that the CDC has officially updated their guidance on TB testing in the context of recent COVID-19 vaccination.

We no longer need to consider when someone has had a COVID-19 vaccine when administering a TB test as noted below:

“Use of immune-based tests for tuberculosis infection, such as the tuberculin skin test and interferon-gamma release assay

COVID-19 vaccination should not be delayed because of testing for tuberculosis (TB) infection. Testing for TB infection with one of the immune-based methods, either the tuberculin skin test (TST) or an interferon release assay (IGRA)<https://urldefense.com/v3/__https://imsva91-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=https*3a*2f*2fgcc02.safelinks.protection.outlook.com*2f*3furl*3dhttps*253A*252F*252Fwww.cdc.gov*252Ftb*252Ftopic*252Ftesting*252Ftbtesttypes.htm*26data*3d04*257C01*257C*257C8908a4553b024b9ad76a08d96f026247*257Ce95f1b23abaf45ee821db7ab251ab3bf*257C0*257C0*257C637662878316448805*257CUnknown*257CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*253D*257C3000*26sdata*3d73XcQ*252B6ttxQI*252F7iS28q*252BVQ*252F0Inui8qHCJO6I9*252B1R*252BHk*253D*26reserved*3d0&umid=F281550B-CB1C-5D05-A525-4362B3528C93&auth=0b393771eab4df609f0fdff83b2bfe113ffa6277-0a70fd32a4d549cd2ce5877211fcd4c7c6ae198d__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!EZIlbw!-xxKdi44X2LubB1XUSsUiFRpsfv7WvaprqQeuw4xtGrLRAwzMdHflin7gMDHfJTxl7pK_g$>, can be done before, after, or during the same encounter as COVID-19 vaccination

TSTs and IGRAs were previously recommended to be administered > 4 weeks after completion of COVID-19 vaccination to minimize potential theoretical interference between vaccination and TB testing. This was out of an abundance of caution during a period when these vaccines were new. However, given logistical challenges faced in delaying TB infection testing, the recommendation has been updated so that these tests may now be administered without regard to timing of COVID-19 vaccination.

source:

Interim Clinical Considerations for Use of COVID-19 Vaccines | CDC<https://urldefense.com/v3/__https://imsva91-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=https*3a*2f*2fgcc02.safelinks.protection.outlook.com*2f*3furl*3dhttps*253A*252F*252Fwww.cdc.gov*252Fvaccines*252Fcovid*2d19*252Fclinical*2dconsiderations*252Fcovid*2d19*2dvaccines*2dus.html*26data*3d04*257C01*257C*257C8908a4553b024b9ad76a08d96f026247*257Ce95f1b23abaf45ee821db7ab251ab3bf*257C0*257C0*257C637662878316448805*257CUnknown*257CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*253D*257C3000*26sdata*3drx688YMUQfsCuoOT53l1kBBfvZQiUBeBXZlkGTM89Ys*253D*26reserved*3d0&umid=F281550B-CB1C-5D05-A525-4362B3528C93&auth=0b393771eab4df609f0fdff83b2bfe113ffa6277-d457397b15e341739aec4490dc595d1a11541c55__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!EZIlbw!-xxKdi44X2LubB1XUSsUiFRpsfv7WvaprqQeuw4xtGrLRAwzMdHflin7gMDHfJTWTatuYA$>



Thanks so much,

Lori



Lori Rolando MD MPH FACOEM

Director, Vanderbilt Occupational Health Clinic

615-936-0955 (p)

615-936-0966 (f)



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