[MCOH-EH] TB Exposures - AOHC

[Thanassi, Wendy]

Hello!

Thanks for bringing this up, Mary! One of our MCOH members’ hospital actually had this case, which I was happy to present. That smear-positive patient was up-close and personal with an unmasked radiology team member getting the patient situated for the exam.

Expsosure, as we talked about, deserves its own scoring list. ((all about the source, all about the disease, all about the contact)… lots of details that can make each exposure different.

So, at AOHC in Chicago next year, Krithi has a session just on TB exposure investigations proposed. In my dream world, we’d build a scoring system to help decide who to test and who not. In general, do concentric circles of the most exposed first. And use the chart to see who really spent time with the patient rather than just “drive-bys.”

😊
Happy weekend,
Wendy

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Giovannetti, Mary
Sent: Tuesday, September 9, 2025 5:26 AM
To: mcoh-eh at mylist.net
Subject: [EXTERNAL] [MCOH-EH] TB Exposures

Good morning,
Dr. Thannasi delivered an excellent presentation on TB exposures last week. During the session, we discussed a case involving someone who converted after just a 10-minute unprotected exposure to a smear-positive patient. This has prompted me to revisit our current policy regarding post-exposure testing and the amount of time exposed.

I’d appreciate learning more about your current guidelines:

  *   How do you determine the threshold for TB exposure duration?
  *   When do you initiate testing following an unprotected exposure?






Mary C Giovannetti, DNP, APRN, FNP

Director/Nurse Practitioner| Employee Health

Physician's Center, -100 East Wood St., Suite 204 | Spartanburg, SC 29303

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e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/>



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