Medical Center Occupational Health Basics-Appendix 1

Appendix 1

Pdf Summary

The document outlines a facility risk assessment for tuberculosis (TB) using the CDC guidelines from 2005, updated to incorporate the 2019 recommendations from the CDC and NTCA. It focuses on two primary settings: outpatient settings and nontraditional facility-based settings. The assessment aims to determine the presence of person-to-person transmission of M. tuberculosis within healthcare environments and to identify any instances of tuberculin skin test (TST) or blood assay (BAMT/IGRA) conversions among healthcare personnel (HCP) or clients over the past year.<br /><br />For outpatient settings, the assessment involves reviewing case reports from contact investigations and any conducted serial testing to identify any TB transmission among healthcare personnel. This is done to determine if workplace transmission of M. tuberculosis has occurred.<br /><br />Nontraditional facility-based settings follow a similar process, where conversions of TST or BAMT/IGRA among staff or clients in the past year are examined using data from contact investigations and serial testing programs.<br /><br />The document then outlines the frequency at which HCPs should be tested for M. tuberculosis infection, which includes testing on hire, post-exposure, or at other specified times.<br /><br />The 2019 recommendations emphasize maintaining the practices from the 2005 guidelines that are unrelated to HCP screening, testing, treatment, and education. They particularly highlight the importance of continuing with annual facility risk assessments to guide infection control policies and procedures effectively.<br /><br />Overall, these updates ensure that facilities remain vigilant in monitoring and controlling potential TB outbreaks in healthcare settings while maintaining established protocols for infection control and safety.

Keywords

tuberculosis

CDC guidelines

risk assessment

outpatient settings

nontraditional settings

M. tuberculosis

healthcare personnel

TST conversions

IGRA testing

infection control