KDPH TB RISK ASSESSMENT
What medication can cause a decrease in visual acuity? (Requires monthly vision exams!)
Ethambutol
If a patient states that they have had positive TB blood tests in the past - what should your follow-up questions be?
Have you ever received treatment for LTBI or TB disease?
When can a patient move to VDOT?
After completing the initial phase of medication
(with provider approval)
What does the BCG vaccine protect against?
The BCG vaccine primarily protects children under the age of 10 from developing more deadly forms of TB Disease (EX: TB meningitis)
Why do we give B6 to some patients?
To prevent side effects (peripheral neuropathy) of INH.
A US born individual required a TST for her job at a daycare. She has no known risk factors for infection or for developing TB disease. How big does her induration need to be for it to be considered positive?
15mm.
(But we could still offer a blood test!)
Name 5 incentives and enablers we offer TB Cases.
Taxi rides to appts.
Groceries for patients experiencing food insecurity
Protein Shakes
Gas Cards
Mcdonald's cards (be cautious if patient is on isolation)
Supplies from our social work closet
What percentage of LTBI patients will convert to TB disease at some point in their lifetime?
**Bonus if you know the conversion rate for people with diabetes!
5-10%
A patient is at a 10% risk of developing TB disease the first 2 years after exposure. After that, the chance lowers to 5%.
LTBI patients with diabetes have a 20% risk of conversion!
What blood test (other than QFT) should be documented on all active TB patients?
HIV Test
What are the education requirements for patient with newly diagnosed TB Disease?
Sputum Collection
Respiratory Precautions
HIV Education
Nutrition (INH and Rifampin dietary restrictions)
DOT