Nurses General Nursing
Published Jun 17, 2018
In school I was taught 15mm but on CDC its giving two different answers which can i go by for standard?
mzsuccess
425 Posts
1)I did not say anything about chicken pox2)what does being of Indian descent have to do with him not having had chicken pox?
2)what does being of Indian descent have to do with him not having had chicken pox?
1) I meant smallpox
2) Some countries TB are more prevalent just thought I'd mention
Horseshoe, BSN, RN
5,879 Posts
1) I meant smallpox2) Some countries TB are more prevalent just thought I'd mention
Ok, well, my comment about smallpox was actually facetious, considering that:
The last known natural case was in Somalia in 1977. Since then, the only known cases were caused by a laboratory accident in 1978 in Birmingham, England, which killed one person and caused a limited outbreak. Smallpox was officially declared eradicated in 1979.
WHO | Frequently asked questions and answers on smallpox
TriciaJ, RN
4,328 Posts
The WHO, CDC have websites about TB. Health Canada has very good information also. The WHO has an interactive BCG website, telling you which countries administer BCG to their citizens. The CDC has an algorithm for how to determine a positive skin test based on mm induration and risk factors.
If the patient is from India he was more than likely vaccinated with BCG which would give a false positive. He really needs a quantiferon or T-spot to clarify. If that test is positive, then he needs a chest x-ray to rule out active disease. If the QFG is positive, but the CXR negative, then he has latent tb infection and needs to be counseled so he can make an informed decision whether to start chemoprophylaxis. If the CXR is positive, then he has active TB and definitely needs to be treated. Clear as mud?
The WHO, CDC have websites about TB. Health Canada has very good information also. The WHO has an interactive BCG website, telling you which countries administer BCG to their citizens. The CDC has an algorithm for how to determine a positive skin test based on mm induration and risk factors.If the patient is from India he was more than likely vaccinated with BCG which would give a false positive. He really needs a quantiferon or T-spot to clarify. If that test is positive, then he needs a chest x-ray to rule out active disease. If the QFG is positive, but the CXR negative, then he has latent tb infection and needs to be counseled so he can make an informed decision whether to start chemoprophylaxis. If the CXR is positive, then he has active TB and definitely needs to be treated. Clear as mud?
YES! THANKS TriciaJ
DowntheRiver
983 Posts
I'm going to go out on a limb and guess that the patient has not recently had smallpox...But good points made about false positives as well as the BCG.
But good points made about false positives as well as the BCG.
LOL I meant to type chickenpox.
So I just saw on IFLScience that some kid in Idaho had the Bubonic plague. So never say never! I know it still is possible in certain parts of the world/country, but that was not something I was expecting to see it.
Penelope_Pitstop, BSN, RN
2,365 Posts
what does being of Indian descent have to do with him not having had chicken pox?
A lot of people in India are vegetarians, therefore they can't contract chicken pox.
Duh.
I'll see myself out.
Wiggly Litchi
476 Posts
A lot of people in India are vegetarians, therefore they can't contract chicken pox. Duh.I'll see myself out.
Gigglesnorted so hard I almost gave myself a nosebleed.
Thanks for that lmao
Exactly. That's why Hindus don't get cowpox and Muslims don't get swine flu.
nursej22, MSN, RN
3,854 Posts
Beware the Skittle pox !
Beldar_the_Cenobite, CNA
470 Posts
Asians have a high prevalence of TB. My ex is filipino and she wanted to be a CNA so she had to get tested for TB. She tested positive via the shot, then had X-ray done and was tested positive for that to see how big it was in her lungs, but that didn't mean she couldn't be a CNA. She had no S&S. I can't remember the size, but she said she knew she had it because asians get it all the time, butI can't remember the size, but she was waived I think because it was too small.
I think I read in my patho book that people with sickle cell disease are immune from getting malaria which is the only benefit for being sickle cell disease.