Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska
Chest radiograph results Drug regimen information Doses of medications being administered Document Retention The Alaska TB Program maintains all state TB public health records according to the Alaska Records Retention schedule. Active TB case records will be available at the Alaska TB Program offices for seven years beyond completion of case follow-up. Older records are stored off-site. Records on individuals who were treated for latent tuberculosis infection or were suspected to have tuberculosis are kept on-site for five years. Radiographs are not stored by the state. Case management health information and other TB records should be maintained at the local public health agency according to current applicable record retention rules and regulations. 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 Surveillance 2.13 Revised November 2012
Genotyping Genotyping is a useful tool for studying the pathogenesis, epidemiology, and transmission of Mycobacterium tuberculosis. M. tuberculosis genotyping refers to laboratory procedures developed to identify M. tuberculosis isolates that are identical in specific parts of the genome (of similar strain types). The addition of genotype information to the pool of information generated by surveillance data and data collected through epidemiologic investigation allow confirmation of suspected transmission. A potential outbreak should be suspected whenever there is more than one case of TB whose isolate has the same genotype (genotype cluster). Further investigation that includes review of surveillance data, chart review, and reinterview of TB cases may refute or confirm the epidemiologic connection between more than one TB case. In some instances, a genotype cluster reflects a false-positive culture that may be a result of laboratory cross-contamination. Routine review of genotyping data, along with epidemiologic, clinical, and laboratory data, may identify patients who are wrongly classified as TB patients and should be further investigated. All Mycobacterium tuberculosis isolates in Alaska are submitted for genotyping. Suspected clusters are investigated to determine whether an outbreak has occurred. For more information on genotyping, see the National Tuberculosis Controllers Association/Centers for Disease Control and Prevention Advisory Group on Tuberculosis Genotyping’s Guide to the Application of Genotyping to Tuberculosis Prevention and Control (2004) at http://www.cdc.gov/tb/programs/genotyping/manual.htm All positive M. tuberculosis cultures should be sent to the Alaska Public Health Laboratory in Anchorage for submission to the appropriate national genotyping laboratory. 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 Surveillance 2.14 Revised November 2012
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- 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 and 22: National and State Program Objectiv
- Page 23 and 24: Indicator 3 Thorough contact invest
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- Page 31 and 32: Resources and References Resources
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- 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: Data Collection Forms The following
- Page 47 and 48: References 1 ATS, CDC, IDSA. Contro
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- 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
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- Page 77 and 78: Table 3: WHEN TO SUSPECT PULMONARY
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Chest radiograph results<br />
Drug regimen information<br />
Doses <strong>of</strong> medications being administered<br />
Document Retention<br />
The <strong>Alaska</strong> TB <strong>Program</strong> maintains all state TB public health records according to the<br />
<strong>Alaska</strong> Records Retention schedule.<br />
Active TB case records will be available at the <strong>Alaska</strong> TB <strong>Program</strong> <strong>of</strong>fices for seven<br />
years beyond completion <strong>of</strong> case follow-up. Older records are stored <strong>of</strong>f-site. Records<br />
on individuals who were treated for latent tuberculosis infection or were suspected to<br />
have tuberculosis are kept on-site for five years.<br />
Radiographs are not stored by the state. Case management health information and<br />
other TB records should be maintained at the local public health agency according to<br />
current applicable record retention rules and regulations.<br />
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 Surveillance 2.13<br />
Revised November 2012
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