To treat or not, that is the question

[cubangirl]

Hello everyone: i just started working 3 weeks ago. When i was going through my physical and lab tests with employee health my ppd was positive. They refered me to the chest clinic on my county. Well, long story short, the x ray was clear, but now the doctor on the clinic is telling me that I need to take a course of treatment, wich is rifampin for 4months. I opted for having an x ray done once a year, but he kept telling me that if i become active i could infect everybody without even knowing it. So now, here I am, I am so confused and i don't know what to do.

Please can anyone give some advice? have you been in the same situation? I just don't know what to do!!! Help :uhoh21:

[Elvish, BSN, DNP, RN, NP]

I used to work at a place that did physicals for immigrants applying for their green card - and I always thought it interesting that USCIS' standards for what constituted a +PPD were more stringent than the CDC's. Guess they can do what they want, but it didn't really make sense to be sending all these healthy folks with 5mm induration for CXRs. Even if they had already been in the US for years on a visa.