Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019

Details

• Journal Article:
  Morbidity and Mortality Weekly Report
• Personal Author:
  Sosa, Lynn E. ; Njie, Gibril J. ; Lobato, Mark N. ; Bamrah Morris, Sapna ; Buchta, William ; Casey, Megan L. ; Goswami, Neela D. ; Gruden, MaryAnn ; Hurst, Bobbi J. ; Khan, Amera R. ; Kuhar, David T. ; Lewinsohn, David M. ; Mathew, Trini A. ; Mazurek, Gerald H. ; Reves, Randall ; Paulos, Lisa ; Thanassi, Wendy ; Will, Lorna ; Belknap, Robert
• Description:
  What is already known about this topic? Since 1991, U.S. tuberculosis (TB) rates have declined, including among health care personnel (HCP). Serial TB testing has limitations in populations at low risk. What is added by this report? A systematic review found a low percentage of HCP have a positive TB test at baseline and upon serial testing. Updated recommendations for screening and testing HCP include an individual baseline (preplacement) risk assessment, symptom evaluation and testing of persons without prior TB or latent TB infection (LTBI), no routine serial testing in the absence of exposure or ongoing transmission, treatment for HCP diagnosed with LTBI, annual symptom screening for persons with untreated LTBI, and annual TB education of all HCP. What are the implications for public health practice? Increasing LTBI treatment among HCP might further decrease TB transmission in health care settings. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Education Full Report Health Care Facilities Workforce And Services Health Personnel Interferon-Gamma Release Tests Latent Tuberculosis Mass Screening Mycobacterium Tuberculosis Occupational Health Public Health Risk Assessment Safety Systematic Reviews As Topic Tuberculin Test Tuberculosis

  More +
• Keywords:
  Humans; Public health; Tuberculosis; TB; Health care personnel; Health care workers; Medical screening; Medical examinations; Medical treatment; Clinical tests; Recommendations; Systematic reviews; Risk assessment; Risk management; Infection control; Infectious diseases; Mycobacterium; Bacterial disease; Bacterial infections; Bacteria; Education; Disease control; Disease transmission; Medical monitoring; Medical personnel; Health care facilities; Medical facilities; Medical management guidelines; Guidelines; Surveillance
• Source:
  MMWR 2019 May; 68(19):439-443
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195
• Pubmed ID:
  31099768
• Pubmed Central ID:
  PMC6522077
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  California ; Colorado ; Connecticut ; Georgia ; Illinois ; Maryland ; Michigan ; Oregon ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 8 ; OSHA Region 9 ; Pennsylvania ; West Virginia ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  5 pdf pages
• Volume:
  68
• Issue:
  19
• NIOSHTIC Number:
  nn:20055854
• Contact Point Address:
  Gibril J. Njie, Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC
• Email:
  gnjie@cdc.gov
• Federal Fiscal Year:
  2019
• NORA Priority Area:
  Healthcare and Social Assistance
• Peer Reviewed:
  False
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR) National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fc39fd1ae0698de74352266dbb955791362c2c99420cff98e2061d38bfcd5588b498fc97411e3aef15cf179ed31caefb4d688211a9992a060c75dc46de44b450
• Download URL:
  https://stacks.cdc.gov/view/cdc/78840/cdc_78840_DS1.pdf
• File Type:
  [PDF - 173.08 KB ]