An induration of 5 or more millimeters is considered positive in
-HIV-infected persons
-A recent contact of a person with TB disease
-Persons with fibrotic changes on chest radiograph consistent with prior TB
-Patients with organ transplants
-Persons who are immunosuppressed for other reasons (e.g., taking the equivalent of >15 mg/day of prednisone for 1 month or longer, taking TNF-aantagonists)
An induration of 10 or more millimeters is considered positive in
-Recent immigrants (< 5 years) from high-prevalence countries
-Injection drug users
-Residents and employees of high-risk congregate settings
-Mycobacteriology laboratory personnel
-Persons with clinical conditions that place them at high risk
-Children < 4 years of age
– Infants, children, and adolescents exposed to adults in high-risk categories
>An induration of 15 or more millimetersis considered positive in any person, including persons with no known risk factors for TB. However, targeted skin testing programs should only be conducted am
I currently have a client who has 9mm induration- he's asymptomatic. Do I still report to health department?
Depends on your facility.... But generally if you have 9 mm, just document the 9 mm which in this case is negative
If you are wondering whether additional testing or evaluation is needed on the clinical end for some reason you haven't mentioned... that's a call to your doc. But if the correct standard for this patient's situation is 10 mm or 15 mm and you've got 9 mm - your result is negative, and public health doesn't require any report.
I called the health Department and client mentioned he had Tb before and was treated they’re saying this is considered a factor. ( he did tell the nurse that placed it) they had me fax them and may want him to be seen for a cxr. Only thing it’s my last day today and they’re giving me the run around and there’s no other nurse.
mzsuccess
425 Posts
I called the health Department and client mentioned he had Tb before and was treated they’re saying this is considered a factor. ( he did tell the nurse that placed it) they had me fax them and may want him to be seen for a cxr. Only thing it’s my last day today and they’re giving me the run around and there’s no other nurse.