Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska

More documents

Recommendations

Info

Indicator 2 TB case rate Decline in TB rates National Tuberculosis Program Objectives and Performance Targets a. National Objective: The average yearly decline in TB rates in the US born will be >11%. State Objective: None b. National Objective: The average yearly decline in TB rates in the foreign born will be >4%. State Objective: None c. National Objective: The TB rate in U.S. born will be
Indicator 3 Thorough contact investigations National Tuberculosis Program Objectives and Performance Targets Improve contact identification, evaluation, and treatment a. National Objective: All sputum-AFB-smear-positive TB cases will have at least one contact listed by 2015. State Objective: Increase the proportion of TB patients with positive AFB sputumsmear results who have contacts elicited to 100% by December 31, 2015. b. National Objective: At least 93% of contacts to sputum-AFB-smear-positive TB cases will be evaluated for infection and disease by 2015. State Objective: Increase the proportion of contacts to sputum AFB smear- positive TB cases who are evaluated for infection and disease to 75% by December 31, 2015. c. National Objective: At least 88% of infected contacts will start treatment by 2015. State Objective: Increase the proportion of contacts to sputum AFB smear- positive TB cases with newly-diagnosed latent TB infection (LTBI) who start treatment to 80% by December 31, 2015. d. National Objective: At least 79% of contacts who start treatment will complete treatment. State Objective: Increase the proportion of contacts to sputum AFB smear- positive TB cases with newly-diagnosed latent TB infection (LTBI) who complete treatment to 75% by December 31, 2015. A L A S K A T U B E R C U L O S I S P R O G R A M M A N U A L Introduction 1.1 5 Revised November 2012
Page 1 and 2: Alaska Tuberculosis Program Manual
Page 3 and 4: Purpose............................
Page 5 and 6: Monthly assessment of adherence ...
Page 7 and 8: When to Expand a Contact Investigat
Page 9 and 10: Introduction CONTENTS About the Ala
Page 11 and 12: How to Use This Manual Portable Doc
Page 13 and 14: Printing To access the print dialog
Page 15 and 16: Abbreviations Refer to the list bel
Page 17 and 18: QFT QuantiFERON ® -TB test QFT-G Q
Page 19 and 20: Alaska Statutes and Regulations on
Page 21: National and State Program Objectiv
Page 25 and 26: National Standards and Recommendati
Page 27 and 28: Roles and Responsibilities Contact
Page 29 and 30: Local Public Health Agencies Table
Page 31 and 32: Resources and References Resources
Page 33 and 34: Introduction Purpose Use this secti
Page 35 and 36: Contact investigation: Collecting,
Page 37 and 38: Reporting Tuberculosis Detecting an
Page 39 and 40: Prompt reporting (prior to culture
Page 41 and 42: Use the Infectious Disease Report F
Page 43 and 44: Data Collection Forms The following
Page 45 and 46: Genotyping Genotyping is a useful t
Page 47 and 48: References 1 ATS, CDC, IDSA. Contro
Page 51 and 52: child or a person acting on behalf
Page 53 and 54: When to Conduct Targeted Testing Al
Page 55 and 56: Alaska Program Standards for Health
Page 57 and 58: B Notifications CONTENTS Introducti
Page 59 and 60: Table 1: NUMBERS OF FOREIGN-BORN PE
Page 61 and 62: chest radiograph and if sputum AFB
Page 63 and 64: Follow-up of B1 and B2 Tuberculosis
Page 65 and 66: Evaluation of B1, B2, and B Tubercu
Page 67 and 68: Treatment Prescribe medications as
Page 69 and 70: 12 Centers for Disease Control and
Page 73 and 74:
Tuberculosis Classification System
Page 75 and 76:
Table 2: PERSONS AT HIGH RISK FOR T
Page 77 and 78:
Table 3: WHEN TO SUSPECT PULMONARY
Page 79 and 80:
Diagnosis of Tuberculosis Disease T
Page 81 and 82:
1. Exposure to Infectious TB: Ask p
Page 83 and 84:
Physical Examination A physical exa
Page 85 and 86:
For more information on chest radio
Page 87 and 88:
Laboratories should report positive
Page 89 and 90:
Guidelines for preventing the trans
Page 91 and 92:
50 CDC. National plan for reliable
Page 93 and 94:
Introduction Purpose The overall go
Page 95 and 96:
Basic Treatment Principles Follow t
Page 97 and 98:
Treatment Regimens and Dosages Use
Page 99 and 100:
Table 3: FOUR TREATMENT REGIMENS FO
Page 101 and 102:
† 4 Table 4: DOSES*OF FIRST-LINE
Page 103 and 104:
Figure 1:TREATMENT ALGORITHM FOR DR
Page 105 and 106:
a. In remote locations in Alaska, m
Page 107 and 108:
Antituberculosis Drug Rifampin (RIF
Page 109 and 110:
Antituberculosis Drug Rifapentine (
Page 111 and 112:
Reporting Reactions The table below
Page 113 and 114:
Response to Treatment For consultat
Page 115 and 116:
Figure 2: MANAGEMENT OF TREATMENT I
Page 117 and 118:
Post-Treatment Evaluation Routine f
Page 119 and 120:
Treatment in Special Situations Tre
Page 121 and 122:
Resources For consultation regardin
Page 123 and 124:
with an increase in overall complet
Page 125 and 126:
Liver Disease Management of TB in p
Page 127 and 128:
After the initial phase (first two
Page 129 and 130:
Extrapulmonary Tuberculosis The bas
Page 131 and 132:
Resources and References Resources
Page 133 and 134:
Diagnosis of Latent Tuberculosis In
Page 135 and 136:
Forms All required and recommended
Page 137 and 138:
High-Risk Groups Certain factors id
Page 139 and 140:
Diagnosis of Latent Tuberculosis In
Page 141 and 142:
continually exposed to populations
Page 143 and 144:
Administration of the Tuberculin Sk
Page 145 and 146:
See “Two-Step Tuberculin Skin Tes
Page 147 and 148:
See “Live-Virus Vaccines” under
Page 149 and 150:
For more information on IGRAs and t
Page 151 and 152:
Table 5: TARGETED TESTING FOR LATEN
Page 153 and 154:
Page 155 and 156:
Treatment of Latent Tuberculosis In
Page 157 and 158:
Policy Detailed information on the
Page 159 and 160:
Window period prophylaxis is treatm
Page 161 and 162:
Regimens Identify an appropriate re
Page 163 and 164:
Dosages Once the appropriate regime
Page 165 and 166:
Side Effects and Adverse Reactions
Page 167 and 168:
If a patient reports to a healthcar
Page 169 and 170:
Antituberculosis Drug Rifampin (RIF
Page 171 and 172:
DOT is strongly encouraged for thos
Page 173 and 174:
Table 7 describes the duration of t
Page 175 and 176:
Alcoholism Alcohol-Related Treatmen
Page 177 and 178:
Medication Administration and Pharm
Page 179 and 180:
National Tuberculosis Controllers A
Page 181 and 182:
24 CDC . “Recommendations for Use
Page 183 and 184:
Diagnosis and Treatment of Latent T
Page 185 and 186:
All children suspected or diagnosed
Page 187 and 188:
Latent Tuberculosis Infection (LTBI
Page 189 and 190:
History of BCG vaccination is not a
Page 191 and 192:
Because of their higher specificity
Page 193 and 194:
Table 3: COUNTRIES AND AREAS WITH A
Page 195 and 196:
Treatment of Latent TB Infection (L
Page 197 and 198:
For consultation regarding the trea
Page 199 and 200:
Monitoring DOT is mandatory for INH
Page 201 and 202:
For young infants, some experts rec
Page 203 and 204:
TABLE 8: SIGNS AND SYMPTOMS OF PULM
Page 205 and 206:
Treatment of Tuberculosis Basic pri
Page 207 and 208:
Regime n 1 2 3 ❺ Table 10: FOUR T
Page 209 and 210:
† 35 Table 11: DOSES*OF FIRST-LIN
Page 211 and 212:
Monitoring Response to Treatment Ch
Page 213 and 214:
Child Care and Schools: Children wi
Page 215 and 216:
Other TB medications are not commer
Page 217 and 218:
10 Centers for Disease Control and
Page 219 and 220:
Case Management CONTENTS Introducti
Page 221 and 222:
patient-centered approach to case m
Page 223 and 224:
Alaska TB Program: Timeline for the
Page 225 and 226:
For assistance with language issues
Page 227 and 228:
Ascertain the extent of TB illness
Page 229 and 230:
medical/health problem. The date of
Page 231 and 232:
necessary to teach people how to ta
Page 233 and 234:
Treatment Plan Components Recommend
Page 235 and 236:
Implementation Activities To begin
Page 237 and 238:
o Indicate the number of doses prov
Page 239 and 240:
Review the status of the contact in
Page 241 and 242:
For more information, see the “Di
Page 243 and 244:
importance of continued treatment a
Page 245 and 246:
5. Review information with the prov
Page 247 and 248:
Completion of Therapy The case mana
Page 249 and 250:
Case Closures Other than Completion
Page 251 and 252:
Conduct a case management meeting o
Page 253 and 254:
Biweekly (BIW) doses of TB medicati
Page 255 and 256:
Use DOT with other measures such as
Page 257 and 258:
It is important not to send a mixed
Page 259 and 260:
Medical Orders Progressive Interven
Page 261 and 262:
CDC. Module 9: “Patient Adherence
Page 263 and 264:
36 New Jersey Medical School Nation
Page 265 and 266:
75 CDC. Module 9: patient adherence
Page 267 and 268:
Introduction Purpose A contact inve
Page 269 and 270:
For roles and responsibilities, ref
Page 271 and 272:
Decision to Initiate a Contact Inve
Page 273 and 274:
chest radiographic findings that ar
Page 275 and 276:
In general, a contact investigation
Page 277 and 278:
Time Frames for Contact Investigati
Page 279 and 280:
Circumstances unique to Alaska may
Page 281 and 282:
Circumstances unique to Alaska may
Page 283 and 284:
Activity Purpose Maximum Time Inter
Page 285 and 286:
Infectious Period Determine the inf
Page 287 and 288:
In general, for the purposes of con
Page 289 and 290:
General Guidelines for Interviewing
Page 291 and 292:
Healthcare workers should remember
Page 293 and 294:
Index Patient with Positive Acid-Fa
Page 295 and 296:
Index Patient with Negative Acid-Fa
Page 297 and 298:
Contact Evaluation, Treatment, and
Page 299 and 300:
Definition of abbreviations: HIV =
Page 301 and 302:
Note: An IGRA may be used in place
Page 303 and 304:
When to Expand a Contact Investigat
Page 305 and 306:
Figure 7: EVALUATION, TREATMENT, AN
Page 307 and 308:
CDC’s “Framework of Program Eva
Page 309 and 310:
Definitions of abbreviations: AIDS
Page 311 and 312:
elease assay; LTBI = latent tubercu
Page 313 and 314:
officials to distinguish between di
Page 315 and 316:
References 1 ATS, CDC, IDSA. Contro
Page 317 and 318:
44 CDC, NTCA. Guidelines for the in
Page 319 and 320:
Introduction Purpose Use this secti
Page 321 and 322:
Available Laboratory Tests Table 2:
Page 323 and 324:
Table 3: PCR Testing Algorithm and
Page 325 and 326:
Table 4: SPECIMEN COLLECTION METHOD
Page 327 and 328:
5. If possible, send the specimen o
Page 329 and 330:
Specimen Shipment There are three m
Page 331 and 332:
Page 333 and 334:
Patient Education CONTENTS Introduc
Page 335 and 336:
treatment, common side-effects of m
Page 337 and 338:
Education Topics During the initial
Page 339 and 340:
10. Explain the signs and symptoms
Page 341 and 342:
Patient Education Materials Get th
Page 343 and 344:
References 1 CDC. Module 4: treatme
Page 345 and 346:
Introduction Purpose Use this secti
Page 347 and 348:
National Guidelines The following g
Page 349 and 350:
Transfer Notifications CONTENTS Int
Page 351 and 352:
For roles and responsibilities, ref
Page 353 and 354:
Follow-Up Type When to Initiate Not
Page 355 and 356:
Action Transfers Within Alaska Tran
Page 357 and 358:
Provide the patient with a. A copy
Page 359 and 360:
References 1 CDC. International not
Page 361 and 362:
Infection Control CONTENTS Introduc
Page 363 and 364:
of TB infection control principles
Page 365 and 366:
Administrative Activities 13 Key ac
Page 367 and 368:
Personal Respiratory Protection Alt
Page 369 and 370:
For regulations in your area, refer
Page 371 and 372:
Employee Health All employees, phys
Page 373 and 374:
Figure 1: TWO STEP TESTING AND FOLL
Page 375 and 376:
Isolation To reduce disease transmi
Page 377 and 378:
Table 4: CRITERIA FOR PATIENTS TO B
Page 379 and 380:
When to Initiate Airborne Infection
Page 381 and 382:
Confirmed Tuberculosis Disease A pa
Page 383 and 384:
Multidrug-Resistant Tuberculosis Di
Page 385 and 386:
Environmental Controls in the Patie
Page 387 and 388:
Return to Work, School, or Other So
Page 389 and 390:
Tuberculosis Infection Control in P
Page 391 and 392:
Transportation Vehicles To prevent
Page 393 and 394:
7 CDC. Guidelines for preventing th
Page 395 and 396:
Forms: Alaska State Public Health L
Page 397 and 398:
ALASKA STATE PUBLIC HEALTH LABORATO
Page 399 and 400:
Anchorage Alaska State Public Healt
Page 401 and 402:
INDEX CASE INFORMATION Name: DOB: /
Page 403 and 404:
CONTACT Name: Tuberculosis Contact
Page 405 and 406:
Directly Observed Therapy (DOT) Cal
Page 407 and 408:
B. Documents patient care activitie
Page 409 and 410:
Alaska TB Program Section of Epidem
Page 411 and 412:
Treatment Summary for Active TB Nam
Page 413 and 414:
Interjurisdictional Tuberculosis No
Page 415 and 416:
! !"#$%&'%()*(+#(,"-./0'1$%+'.,)()/
Page 417 and 418:
! B!9:(78;7)3702D!! ! 3"#$%&%''98#5
Page 419 and 420:
! ?"#51)09/02!H0/.!9:(78;7)37028!/'
Page 421 and 422:
Latent Tuberculosis Infection (LTBI
Page 423 and 424:
Alaska Tuberculosis Program 9210 Va
Page 425 and 426:
Instructions for Collecting Sputum
Page 427 and 428:
TB Case Management Information Requ
Page 429 and 430:
Table 1: First-line anti-tuberculos
Page 431 and 432:
Return the fax to the Drug Room (90
Page 433 and 434:
Stock Orders: A small supply of
Page 435 and 436:
TB/LTBI Medication Return Form Reas
Page 437 and 438:
TB/LTBI Stock Medication Request FA
Page 439 and 440:
TB Medication Dose Monitoring Regim
Page 441 and 442:
TB Medication Dose Monitoring Regim
Page 443 and 444:
ALASKA DEPARTMENT OF HEALTH AND SOC
Page 445:
Tuberculosis Discharge Planning Che
Page 448 and 449:
PART 2: 8. Have you ever been told
Page 450 and 451:
Tuberculosis Treatment Contract Dep
Page 452 and 453:
Statutes and Regulations Contents I
Page 454 and 455:
Regulations Infection Control 7 AAC
Page 456 and 457:
place of work is remote from patien
Page 458 and 459:
(2) the child or a person acting on
Page 460 and 461:
Glossary acid-fast bacilli (AFB): M
Page 462 and 463:
eaction size on a later test, which
Page 464 and 465:
disseminated TB: See miliary TB. dr
Page 466 and 467:
immunocompromised and immunosuppres
Page 468 and 469:
include medical history and TB symp
Page 470 and 471:
thousands to millions of copies of
Page 472 and 473:
secondary (TB) case: A new case of
Page 474:
eproducing TB organisms from respir
show all

Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska

Create successful ePaper yourself

Delete template?

Save as template?