Tuberculosis in Pregnancy

Size: px
Start display at page:

Download "Tuberculosis in Pregnancy"

Transcription

1 Tuberculosis in Pregnant versus non- Tuberculosis in Pregnancy Mark J. Granada, MD Means of Spreading TB bacilli Coughing Sneezing Singing Spitting Laughing Rarely, pregnant TB patient may pass TB to unborn child Tuberculosis in Pregnant versus Non- 2. Pregnancy does not increase rate of infection or reactivation 3. Does not affect rate of progression of LTBI to active disease

2 Tuberculosis in Pregnant versus non- 2. Pregnancy does not increase risk of infection or reactivation. 3. Pregnancy does not affect progression from LTBI to active disease 4. Clinical manifestations are similar Active TB - Signs and Symptoms Unexplained weight loss Coughing for 3-4 months Fever low grade fever a Night sweats Loss of appetite Hemoptysis Chills Fatigue Chest pain Tuberculosis in Pregnant versus Non- 2. Pregnancy does not increase risk of of infection 3. Pregnancy does not affect progression of LTBI to active disease 4. Clinical manifestation is similar 5. Radiographic presentation is similar TB CXR

3 TB CXR Lower Lobe TB TB CXR Lower Lung Field TB

4 Tuberculosis in Pregnant Versus Non- 2. Risk of infection is similar 3. Pregnancy does not affect progression of to active disease 4. Clinical Manifestation is similar 5. Radiographic presentation is similar 6. Management is modified in pregnant woman Active TB and Pregnancy Management 1. Pregnancy does not affect response to treatment for TB 2. Treatment be initiated immediately if active disease is moderately or highly suspected 3. If ATT is started early in pregnancy, outcome is the same in pregnant and non-pregnant 4. Late diagnosis and ATT is associated with 4-fold increase in obstetric morbidity and 9-fold increase in preterm labor in one study Pregnancy and Active TB treatment 1. Before drug sensitivity of TB is known: INH, Rifampin and Ethambutol for two months followed by INH and RM for 7 months in the US 2. If TB is sensitive to all 3 drugs EMB is discontinued Pregnancy and Active TB treatment (cont) 3. Pyrazinamide not routinely used in the US but WHO recommends as part of the initial treatment 4. Pyridoxine is used 5. Steroids in case of meningitis and pericarditis 6. Treatment by DOT and evaluated monthly for toxicity

5 Active TB and Pregnancy Second line drugs if no suitable alternative Cycloserine PAS Ethionamide Flouroquinolone LTBI in Pregnancy Testing for LTBI be done if treatment is considered if the patient has risk factors: 1. Immunocompromised and HIV 2. Exposure to active infectious patient 3. Visit to areas of high incidence of TB 4. Recent immigrants from countries with high incidence of TB Indications for Treatment of LTBI During Pregnancy 1. Immunocompromised and HIV 2. LTBI with recent contact with smear positive TB (No LTBI but with recent contact) at physician s discretion) 3. Recent converter Start treatment after the first trimester LTBI in Pregnancy Treatment of choice a. INH 5 mg/kg up to 300 mg for 9 months b. Pyridoxine is added c. Rifampin is an alternative choice for 4 months 4. Pregnant woman without risk factor - tart treatment 3 months postpartum

6 LTBI in Pregnancy- Follow-up 1. Pregnancy and early postpartum may increase hepatotoxicity 2. Liver enzymes be done monthly 3. Discontinue treatment a. If symptomatic and ALT is 3x normal b. If asymptomatic and ALT is 5x normal 4. LTBI on INH becomes pregnant, continue treatment if patient has risk factors but may discontinue and restart 3 months postpartum if no major risk factors Controlling Transmission - TB and Pregnancy 1. Mother is highly suspect for TB Mother and infant be separated until fully evaluated 2. Mother and infant have active disease both on treatment No need for separation 3. Mother has active TB and infant has LTBI on treatment No need for separation Controlling Transmission (Cont.) 4. Mother has active TB and infant is neither active or LTBI Mother is treated for active TB and infant is treated as LTBI Repeat diagnostic test: if positive, evaluate for active disease; if negative, stop INH for infant 5. Mother is suspected to have drug resistant TB and infant is negative LTBI They should be separated TB and Pregnancy Conclusion For LTBI 1. Diagnostic tests for LTBI be done only with presumption of treatment 2. In the presence of major risk factors, treatment is started 3. Without risk factors can be delayed 3 months postpartum 4. INH is the first choice and RM is an alternative For Active TB 1. Treat early with moderate or high suspicion for active TB 2. Treatment with INH, RM, EMB for 2 months and INH and RM for 7 months Follow-up for Drug toxicity Breastfeeding is not contraindicated

Pregnancy and Tuberculosis. Information for clinicians

Pregnancy and Tuberculosis. Information for clinicians Pregnancy and Tuberculosis Information for clinicians When to suspect Tuberculosis (TB)? Who is at risk of TB during pregnancy? Recent research suggests that new mothers are at an increased risk of TB

More information

Tuberculosis in Children and Adolescents

Tuberculosis in Children and Adolescents Tuberculosis in Children and Adolescents Ritu Banerjee, MD, Ph.D TB Clinical Intensive April 8, 2015 2014 MFMER slide-1 Disclosures None 2014 MFMER slide-2 Objectives Describe the epidemiology of pediatric

More information

Tuberculosis Exposure Control Plan for Low Risk Dental Offices

Tuberculosis Exposure Control Plan for Low Risk Dental Offices Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.

More information

Pediatric Latent TB Diagnosis and Treatment

Pediatric Latent TB Diagnosis and Treatment Date Updated: April 2015 Guidelines Reviewed: 1. CDC Latent TB Guidelines 2. Harborview Pediatric Clinic Latent TB Management, 2010 3. Pediatric Associates Latent TB Guidelines, 2013 4. Seattle Children

More information

Assisted Living - TB Risk Assessment

Assisted Living - TB Risk Assessment Montana DPHHS Tuberculosis Program Assisted Living - TB Risk Assessment Assisted Living, Adult Day Care, Adult Foster Care & Transitional Living Centers Today s Date Facility Address Phone County Completed

More information

New York City Department of Health Protocols for Latent TB Infection Treatment

New York City Department of Health Protocols for Latent TB Infection Treatment New York City Department of Health Protocols for Latent TB Infection Treatment CONTENT A. Medical evaluation for latent TB infection (LTBI) treatment 1. Medical history and physical examination 2. Chest

More information

2011 NTP Paediatric guidelines update- final draft

2011 NTP Paediatric guidelines update- final draft Childhood TB Investigation and management of children suspected to have tuberculosis (TB) or who are close contacts of a TB case (sputum smear positive or negative) Key facts Children who are close contacts

More information

GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA

GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS IN SOUTH AFRICA 2010 1 TB prophylaxis GUIDELINES FOR TUBERCULOSIS PREVENTIVE THERAPY AMONG HIV INFECTED INDIVIDUALS Background

More information

TUBERCULOSIS SCREENING AND TREATMENT IN PREGNANCY. Stephanie N. Lin MD 2/12/2016

TUBERCULOSIS SCREENING AND TREATMENT IN PREGNANCY. Stephanie N. Lin MD 2/12/2016 TUBERCULOSIS SCREENING AND TREATMENT IN PREGNANCY Stephanie N. Lin MD 2/12/2016 Epidemiology of TB 9.6 million new cases in 2014 12% of them are in HIV positive patients 1.5 million deaths in 2014 ~646

More information

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention National Center for HIV, STD, and TB Prevention Division of Tuberculosis Elimination Public

More information

Guideline. Treatment of tuberculosis in pregnant women and newborn infants. Version 3.0

Guideline. Treatment of tuberculosis in pregnant women and newborn infants. Version 3.0 Guideline Treatment of tuberculosis in pregnant women and newborn infants Version 3.0 Key critical points The decision to treat tuberculosis (TB) in pregnancy must consider the potential risks to mother

More information

Pregnancy and Tuberculosis. Patient and Public information sheet

Pregnancy and Tuberculosis. Patient and Public information sheet Pregnancy and Tuberculosis Patient and Public information sheet Who is at risk of TB? Anyone can catch TB, but it is possible that pregnant women have a slightly higher risk of TB. Some people are more

More information

Clinical description 2 Laboratory test for diagnosis 3. Incubation period 4 Mode of transmission 4 Period of communicability 4

Clinical description 2 Laboratory test for diagnosis 3. Incubation period 4 Mode of transmission 4 Period of communicability 4 Tuberculosis Contents Epidemiology in New Zealand 2 Case definition 2 Clinical description 2 Laboratory test for diagnosis 3 Case classification 3 Spread of infection 4 Incubation period 4 Mode of transmission

More information

TB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB:

TB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB: EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN Risk factors in children acquiring TB: Children living in the same household as a lung TB patient (especially children under 5) Children

More information

Tuberculosis and You A Guide to Tuberculosis Treatment and Services

Tuberculosis and You A Guide to Tuberculosis Treatment and Services Tuberculosis and You A Guide to Tuberculosis Treatment and Services Tuberculosis (TB) is a serious disease that can damage the lungs or other parts of the body like the brain, kidneys or spine. There are

More information

Chapter 5 Treatment for Latent Tuberculosis Infection

Chapter 5 Treatment for Latent Tuberculosis Infection Chapter 5 Treatment for Latent Tuberculosis Infection Table of Contents Chapter Objectives.... 109 Introduction.... 111 Candidates for the Treatment of LTBI.... 112 LTBI Treatment Regimens.... 118 LTBI

More information

Tuberculosis. Subject. Goal/Objective. Instructions. Rationale. Operations Directorate, Health Branch Immigration Medical Examination Instructions

Tuberculosis. Subject. Goal/Objective. Instructions. Rationale. Operations Directorate, Health Branch Immigration Medical Examination Instructions Subject Instructions for the screening of clients to detect tuberculosis (TB) in the context of the Canadian immigration medical examination (IME). Goal/Objective These instructions are provided to ensure

More information

Chapter 6 Treatment of Tuberculosis Disease

Chapter 6 Treatment of Tuberculosis Disease Chapter 6 Treatment of Tuberculosis Disease Table of Contents Chapter Objectives.... 139 Introduction.... 141 Treatment and Monitoring Plan.... 143 Adherence Strategies... 143 TB Disease Treatment Regimens....

More information

You. guide to tuberculosis treatment and services

You. guide to tuberculosis treatment and services Adapted from TB and You: A Guide to Tuberculosis Treatment and Services with permission from Division of Public Health TB Control Program State of North Carolina Department of Health and Human Services

More information

Self-Study Modules on Tuberculosis

Self-Study Modules on Tuberculosis Self-Study Modules on Tuberculosis Treatment of Latent Tuberculosis Infection and Tube rc ulos is Disease U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National

More information

Long-term Care - TB Risk Assessment

Long-term Care - TB Risk Assessment Montana DPHHS Tuberculosis Program Long-term Care - TB Risk Assessment Long-term Care, Residential Treatment, ESRD (outpatient), Hospice (inpatient) Today s Date Facility Address Phone County Completed

More information

MANAGEMENT OF COMMON SIDE EFFECTS of INH (Isoniazid), RIF (Rifampin), PZA (Pyrazinamide), and EMB (Ethambutol)

MANAGEMENT OF COMMON SIDE EFFECTS of INH (Isoniazid), RIF (Rifampin), PZA (Pyrazinamide), and EMB (Ethambutol) MANAGEMENT OF COMMON SIDE EFFECTS of INH (Isoniazid), RIF (Rifampin), PZA (Pyrazinamide), and EMB (Ethambutol) 1. Hepatotoxicity: In Active TB Disease a. Background: 1. Among the 4 standard anti-tb drugs,

More information

San Francisco Treatment Guidelines for Latent Tuberculosis Infection

San Francisco Treatment Guidelines for Latent Tuberculosis Infection City and County of San Francisco Department of Public Health Tuberculosis Control Unit Julie Higashi, MD, PhD Director Population Health Division Edwin M. Lee Mayor Disease Prevention and Control Branch

More information

LEARNING OUTCOMES. Identify children at risk of developing TB disease. Correctly manage and refer children suspected of TB. Manage child contacts

LEARNING OUTCOMES. Identify children at risk of developing TB disease. Correctly manage and refer children suspected of TB. Manage child contacts TB in Children 1a TB IN CHILDREN 2 LEARNING OUTCOMES Identify children at risk of developing TB disease Correctly manage and refer children suspected of TB Manage child contacts 3 TB Infection and Disease

More information

Tuberculosis (TB) Screening Guidelines for Substance Use Disorder Treatment Programs in California

Tuberculosis (TB) Screening Guidelines for Substance Use Disorder Treatment Programs in California Tuberculosis (TB) Screening Guidelines for Substance Use Disorder Treatment Programs in California 1 of 7 Table of Contents Preface 2 TB Symptoms and TB History 2 Initial Screening 2 Follow-Up Screening

More information

Maria Dalbey RN. BSN, MA, MBA March 17 th, 2015

Maria Dalbey RN. BSN, MA, MBA March 17 th, 2015 Maria Dalbey RN. BSN, MA, MBA March 17 th, 2015 2 Objectives Participants will be able to : Understand the Pathogenesis of Tuberculosis (TB) Identify the Goals of Public Health for TB Identify Hierarchy

More information

TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG

TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG Tx CENTERS Tuberculosis Control Program Health and Human Services Agency San Diego County INTRODUCTION Reducing TB disease requires

More information

Primary Care Management of Latent Tuberculosis Infection in the Foreign-Born

Primary Care Management of Latent Tuberculosis Infection in the Foreign-Born Primary Care Management of Latent Tuberculosis Infection in the Foreign-Born Investigators Carey Jackson MD, MPH University of Washington Jenny Pang MD, MPH, Seattle-King County Department of Public Health

More information

Challenges in Pediatric Tuberculosis. Mimi Emig, MD Spectrum Health Kent County Health Department

Challenges in Pediatric Tuberculosis. Mimi Emig, MD Spectrum Health Kent County Health Department Challenges in Pediatric Tuberculosis Mimi Emig, MD Spectrum Health Kent County Health Department Pediatric Tuberculosis: A Missed Public Health Opportunity Mimi Emig, MD Spectrum Health Kent County Health

More information

Management of Adverse Drug Reactions in Tuberculosis. Anju Budhwani, MD

Management of Adverse Drug Reactions in Tuberculosis. Anju Budhwani, MD Management of Adverse Drug Reactions in Tuberculosis Anju Budhwani, MD Introduction Management of patients with tuberculosis (TB) can be a difficult task in any patient Drug reactions commonly occur in

More information

MANAGEMENT OF TUBERCULOSIS

MANAGEMENT OF TUBERCULOSIS MANAGEMENT OF TUBERCULOSIS Dean B. Ellithorpe, M.D. Clinical Professor of Medicine Section of Pulmonary Diseases, Critical Care and Environmental Medicine Tulane University School of Medicine INTRODUCTION

More information

Recent Advances in The Treatment of Mycobacterium Tuberculosis

Recent Advances in The Treatment of Mycobacterium Tuberculosis Recent Advances in The Treatment of Mycobacterium Tuberculosis Dr Mohd Arif Mohd Zim Senior Lecturer & Respiratory Physician Faculty of Medicine, Universiti Teknologi MARA mohdarif035@salam.uitm.edu.my

More information

12 Points of Tuberculosis (TB) Patient Education

12 Points of Tuberculosis (TB) Patient Education 12 Points of Tuberculosis (TB) Patient Education Transmission of TB TB is a disease caused by the TB germ. The disease is mainly in the lungs (pulmonary TB), but the germ can travel to other parts of the

More information

Management of Tuberculosis: Indian Guidelines

Management of Tuberculosis: Indian Guidelines Chapter 105 Management of Tuberculosis: Indian Guidelines Kuldeep Singh Sachdeva INTRODUCTION Tuberculosis (TB) is an infectious disease caused predominantly by Mycobacterium tuberculosis and among the

More information

CHAPTER 9: TREATMENT OF ACTIVE TB DISEASE

CHAPTER 9: TREATMENT OF ACTIVE TB DISEASE CHAPTER 9: TREATMENT OF ACTIVE TB DISEASE 9.1 Treatment Regimens....... 2 9.1.1 Standard TB Treatment Regimen......2 9.1.2 Alternate TB Treatment Regimens.3 9.2 Phases of TB Treatment....3 9.3 TB Medications

More information

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC

BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC BASIC INFORMATION ABOUT HIV, HEPATITIS B and C, and TUBERCULOSIS Adapted from the CDC HIV What are HIV and AIDS? HIV stands for Human Immunodeficiency Virus. This is the virus that causes AIDS. HIV is

More information

Borderless Diseases By Sunny Thai

Borderless Diseases By Sunny Thai Borderless Diseases By Sunny Thai Millennium Development Goal #6 6. Combat HIV/AIDS, malaria and other borderless diseases. A. Halt and begin reversing spread of HIV by 2015. B. Achieve universal access

More information

MODULE THREE TB Treatment. Treatment Action Group TB/HIV Advocacy Toolkit

MODULE THREE TB Treatment. Treatment Action Group TB/HIV Advocacy Toolkit MODULE THREE TB Treatment Treatment Action Group TB/HIV Advocacy Toolkit 1 Topics to be covered TB treatment fundamentals Treatment of TB infection and disease TB treatment research Advocacy issues 2 Section

More information

Chapter Four: Treatment of Tuberculosis Disease

Chapter Four: Treatment of Tuberculosis Disease Chapter Four: Treatment of Tuberculosis Disease The standard of tuberculosis (TB) treatment in Los Angeles County (LAC) is to initiate an appropriate chemotherapeutic regimen along with Directly Observed

More information

MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams

MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams Document control Title Type Author/s Management of tuberculosis in prisons: Guidance for prison healthcare teams Operational

More information

Management of Tuberculosis

Management of Tuberculosis Federal Bureau of Prisons Clinical Practice Guidelines January 2010 Clinical guidelines are being made available to the public for informational purposes only. The Federal Bureau of Prisons (BOP) does

More information

Case Management Treatment Plan for Active TB Disease

Case Management Treatment Plan for Active TB Disease Case Management Treatment Plan for Active TB Disease The purpose of this form is to provide a checklist to organize the gathering of information in a TB case to ensure the best medical and public health

More information

Questions and Answers About Tuberculosis

Questions and Answers About Tuberculosis Questions and Answers About Tuberculosis 2014 Questions and Answers About Tuberculosis 2014 Questions and Answers About Tuberculosis ( TB) was written to provide information on the diagnosis and treatment

More information

LTBI Program Implementation in a Substance Abuse Treatment Facility

LTBI Program Implementation in a Substance Abuse Treatment Facility LTBI Program Implementation in a Substance Abuse Treatment Facility (A Case Study) Acknowledgments The New Jersey Medical School (NJMS) National Tuberculosis Center wishes to acknowledge the following

More information

Staying on Track with TUBERCULOSIS. Medicine

Staying on Track with TUBERCULOSIS. Medicine Staying on Track with TB TUBERCULOSIS Medicine What s Inside: Read this brochure to learn about TB and what you can do to get healthy. Put it in a familiar place to pull out and read when you have questions.

More information

Santa Clara County Tuberculosis Screening Requirement for School Entrance Effective June 1, 2014. Frequently Asked Questions

Santa Clara County Tuberculosis Screening Requirement for School Entrance Effective June 1, 2014. Frequently Asked Questions Frequently Asked Questions A child has history of BCG vaccination, should they have TST or IGRA? According to the American Academy of Pediatrics Red Book (2012), Interferon Gamma Release Assay (IGRA) is

More information

Treatment of Tuberculosis Disease

Treatment of Tuberculosis Disease Treatment of Tuberculosis Disease CONTENTS Introduction... 6.2 Purpose... 6.2 Policy... 6.2 Forms... 6.3 Basic Treatment Principles... 6.4 Treatment Regimens and Dosages... 6.6 Regimens... 6.6 Dosages...

More information

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease?

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease? Tuberculosis: FAQs What is TB disease? Tuberculosis (TB) is a disease caused by bacteria (germs) that are spread from person to person through the air. TB usually affects the lungs, but it can also affect

More information

INITIATING ORAL AUBAGIO (teriflunomide) THERAPY

INITIATING ORAL AUBAGIO (teriflunomide) THERAPY FOR YOUR PATIENTS WITH RELAPSING FORMS OF MS INITIATING ORAL AUBAGIO (teriflunomide) THERAPY WARNING: HEPATOTOXICITY AND RISK OF TERATOGENICITY Severe liver injury including fatal liver failure has been

More information

Tuberculosis and HIV/AIDS Co-Infection: Epidemiology and Public Health Challenges

Tuberculosis and HIV/AIDS Co-Infection: Epidemiology and Public Health Challenges Tuberculosis and HIV/AIDS Co-Infection: Epidemiology and Public Health Challenges John B. Kaneene, DVM, MPH, PhD University Distinguished Professor of Epidemiology Director, Center for Comparative Epidemiology

More information

X-Plain Pediatric Tuberculosis Reference Summary

X-Plain Pediatric Tuberculosis Reference Summary X-Plain Pediatric Tuberculosis Reference Summary Introduction Tuberculosis, or TB, is a bacterial infection that causes more deaths in the world than any other infectious disease. When a child gets TB,

More information

Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults)

Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults) Screening and preventive therapy for MDR/XDR-TB exposed/infected children (and adults) H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg

More information

Remove this cover sheet before redistributing and replace it with your own. Please ensure that DPHHS is included on your HAN distribution list.

Remove this cover sheet before redistributing and replace it with your own. Please ensure that DPHHS is included on your HAN distribution list. State of Montana Health Alert Network DPHHS HAN ADVISORY Cover Sheet DATE: May 15, 2012 SUBJECT: Pertussis INSTRUCTIONS: DISTRIBUTE to your local HAN contacts. This HAN is intended for general sharing

More information

Take Steps to Control TB TUBERCULOSIS. When You HaveHIV

Take Steps to Control TB TUBERCULOSIS. When You HaveHIV Take Steps to Control TB TUBERCULOSIS When You HaveHIV What s Inside: People with HIV are are also at risk for getting TB. Read this brochure today to learn about TB and HIV. 4PAGE 5PAGE About TB infection

More information

You can get more information about TB from the following: Local Public Health Nurse Community Clinic Nurse Communicable Disease Control Nurse Your Family or Community Doctor Your Infection Control Practitioner

More information

Massachusetts Department of Public Health Division of Global Populations and Infectious Disease Prevention

Massachusetts Department of Public Health Division of Global Populations and Infectious Disease Prevention Massachusetts Department of Public Health Division of Global Populations and Infectious Disease Prevention Screening Infants and Children for Tuberculosis in Massachusetts Executive Summary In Massachusetts,

More information

Directly Observed Therapy (DOT) Manual for Tuberculosis Programs in British Columbia

Directly Observed Therapy (DOT) Manual for Tuberculosis Programs in British Columbia Directly Observed Therapy (DOT) Manual for Tuberculosis Programs in British Columbia June 2011 Funding Provided by First Nations & Inuit Health, BC Pacific Region 2 Directly Observed Therapy (DOT) Manual

More information

AMBULATORY TREATMENT AND PUBLIC HEALTH MEASURES FOR A PATIENT WITH UNCOMPLICATED PULMONARY TUBERCULOSIS

AMBULATORY TREATMENT AND PUBLIC HEALTH MEASURES FOR A PATIENT WITH UNCOMPLICATED PULMONARY TUBERCULOSIS AMBULATORY TREATMENT AND PUBLIC HEALTH MEASURES FOR A PATIENT WITH UNCOMPLICATED PULMONARY TUBERCULOSIS (UPDATE 2004) Internal guidelines of the Tuberculosis & Chest Service of the Department of Health

More information

Paediatrica Indonesiana. Limitations of the Indonesian Pediatric Tuberculosis Scoring System in the context of child contact investigation

Paediatrica Indonesiana. Limitations of the Indonesian Pediatric Tuberculosis Scoring System in the context of child contact investigation Paediatrica Indonesiana VOLUME 51 November NUMBER 6 Original Article Limitations of the Indonesian Pediatric Tuberculosis Scoring System in the context of child contact investigation Rina Triasih 1,2,

More information

Tuberculosis Prevention and Control Protocol, 2008

Tuberculosis Prevention and Control Protocol, 2008 Tuberculosis Prevention and Control Protocol, 2008 Preamble The Ontario Public Health Standards (OPHS) are published by the Minister of Health and Long- Term Care under the authority of the Health Protection

More information

TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT

TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT Introduction : ETB 15-20% Pleural effusion 20% in non HIV Under reporting because of AFB negative in fluid In HIV patients: EPTB 20% PTB + EPTB 50% Pleural Effusion

More information

Substance misuse and TB: Information for families affected

Substance misuse and TB: Information for families affected Substance misuse and TB: Information for families affected What is TB? TB is the short name for an infectious disease called tuberculosis. You can get TB by prolonged and close contact with someone who

More information

Table. Positive Purified Protein Derivative Results (Pediatrics In Review Apr 2008)

Table. Positive Purified Protein Derivative Results (Pediatrics In Review Apr 2008) PPD and TB Sreening COMPETENCY- The resident should know the risk factors for TB exposure, when to screen, and the appropriate criteria for recognizing a positive PPD in children of different age groups

More information

Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ.

Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ. What is TB? Do many people get tuberculosis (TB)? Yes, Tuberculosis is a serious problem all over the world. Between 6 and 10 million in South Africa are infected by the TB germ. It is infectious, so it

More information

Introduction to TB Nurse Case Management Online February 4, 11, 18 and 25, 2015

Introduction to TB Nurse Case Management Online February 4, 11, 18 and 25, 2015 Introduction to TB Nurse Case Management Online February 4, 11, 18 and 25, 2015 Completion of Treatment: Case Studies or A Little Bit of Everything Presented by Cherie Fulk February 25, 2015 Cherie Fulk

More information

MIOSHA s Tuberculosis Guidelines For Worker Protection from Mycobacterium (Occupational Health Program Directive No. 96-9)

MIOSHA s Tuberculosis Guidelines For Worker Protection from Mycobacterium (Occupational Health Program Directive No. 96-9) MIOSHA s Tuberculosis Guidelines For Worker Protection from Mycobacterium (Occupational Health Program Directive No. 96-9) In recent years, the incidence of Mycobaterium Tuberculosis (M. tuberculosis)

More information

Facts About Chickenpox and Shingles for Adults

Facts About Chickenpox and Shingles for Adults Facts About Chickenpox and Shingles for Adults What is chickenpox? Chickenpox, also known as varicella, is a very contagious disease caused by the varicella-zoster virus. It is spread easily through the

More information

Tuberculosis Surveillance and Screening for Long Term Care Facilities in Colorado

Tuberculosis Surveillance and Screening for Long Term Care Facilities in Colorado Tuberculosis Surveillance and Screening for Long Term Care Facilities in Colorado Developed by the Colorado Medical Directors Association and The Colorado Department of Public Health and Environment Introduction:

More information

This is one of a series of flipcharts on these topics : Ante Natal Care, Post Natal Care, Child Health, Child Nutrition, Family Spacing, HIV&AIDS, Tuberculosis, Malaria Tuberculosis About the flipchart

More information

Tuberculousmeningitis: what is the best treatment regimen?

Tuberculousmeningitis: what is the best treatment regimen? Tuberculousmeningitis: what is the best treatment regimen? H S Schaaf Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University

More information

Liver Disease & Hepatitis Program Providers: Brian McMahon, MD, Steve Livingston, MD, Lisa Townshend, ANP. Primary Care Provider:

Liver Disease & Hepatitis Program Providers: Brian McMahon, MD, Steve Livingston, MD, Lisa Townshend, ANP. Primary Care Provider: Liver Disease & Hepatitis Program Providers: Brian McMahon, MD, Steve Livingston, MD, Lisa Townshend, ANP Primary Care Provider: If you are considering hepatitis C treatment, please read this treatment

More information

PEOSH Model Tuberculosis Infection Control Program

PEOSH Model Tuberculosis Infection Control Program PEOSH Model Tuberculosis Infection Control Program Revised November, 2004 NOTE: The information in this document is not considered to be a substitute for any provision of the PEOSH Act or for any standards

More information

TB preventive therapy in children. Introduction

TB preventive therapy in children. Introduction TB preventive therapy in children H S Schaaf Department of Paediatrics and Child Health, and Desmond Tutu TB Centre Stellenbosch University, and Tygerberg Children s Hospital Introduction Children are

More information

MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams

MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams MANAGEMENT OF TUBERCULOSIS IN PRISONS: Guidance for prison healthcare teams 1 Original document control by Public Health England Title Type Author/s Management of tuberculosis in prisons: Guidance for

More information

Tuberculosis (TB) remains the leading cause of mortality from infectious. Tuberculosis (TB)

Tuberculosis (TB) remains the leading cause of mortality from infectious. Tuberculosis (TB) Tuberculosis (TB) John Bernardo, MD Jill S. Roncarati, PA-C Tuberculosis (TB) remains the leading cause of mortality from infectious diseases in humans in the world. In contrast to the world situation,

More information

DIRECTLY OBSERVED TREATMENT SHORT-COURSE (DOTS)

DIRECTLY OBSERVED TREATMENT SHORT-COURSE (DOTS) DIRECTLY OBSERVED TREATMENT SHORT-COURSE (DOTS) Protocol for Tuberculosis Demonstration Projects in Russia U.S. Centers for Disease Control and Prevention and U.S. Agency for International Development

More information

TB Drugs: Common Side Effects and Interactions. First-line Drugs 11/21/2012. Adverse Events of First-line TB Drugs

TB Drugs: Common Side Effects and Interactions. First-line Drugs 11/21/2012. Adverse Events of First-line TB Drugs TB Drugs: Common Side Effects and Interactions L. Beth Gadkowski MD MPH MS Assistant Professor Division of Infectious Diseases Eastern Virginia Medical School First-line Drugs Isoniazid (INH) Rifampin

More information

Maryland County Health Department Tuberculosis Infection Control Plan

Maryland County Health Department Tuberculosis Infection Control Plan Maryland County Health Department Tuberculosis Infection Control Plan Introduction In 1998, the Division of TB Control developed a Tuberculosis (TB) Prevention Plan template for use by the local health

More information

Treatment of Tuberculosis

Treatment of Tuberculosis Morbidity and Mortality Weekly Report Recommendations and Reports June 20, 2003 / Vol. 52 / No. RR-11 Treatment of Tuberculosis American Thoracic Society, CDC, and Infectious Diseases Society of America

More information

Each discipline will perform activities within the constraints of their respective practice acts, job descriptions and protocols.

Each discipline will perform activities within the constraints of their respective practice acts, job descriptions and protocols. I. TITLE: Protocol for TB Targeted Testing Activities and Treatment of Latent TB Infection (previously referred to as TB screening and preventive therapy). Important Change in Nomenclature: Identification

More information

CDHS/CTCA JOINT GUIDELINES Guidelines for the Treatment of Active Tuberculosis Disease. Table of Contents

CDHS/CTCA JOINT GUIDELINES Guidelines for the Treatment of Active Tuberculosis Disease. Table of Contents Treatment of Tuberculosis Disease CDHS/CTCA JOINT GUIDELINES Table of Contents I. Basic Principles 1 A. Organization and Treatment 1 B. Treatment 1 C. Clinical Management Issues 2 II. Diagnosis 2 III.

More information

Emerging Infectious Disease (4): Drug-Resistant Tuberculosis

Emerging Infectious Disease (4): Drug-Resistant Tuberculosis S67 Drug-Resistant Tuberculosis Emerging Infectious Disease (4): Drug-Resistant Tuberculosis Chi-Fang You, MD; Han-Ping Ma, MD; Tzong-Luen Wang, MD, PhD; Aming Chor-Min Lin, MD Abstract Before the discovery

More information

TB Prevention, Diagnosis and Treatment. Accelerating advocacy on TB/HIV 15th July, Vienna

TB Prevention, Diagnosis and Treatment. Accelerating advocacy on TB/HIV 15th July, Vienna TB Prevention, Diagnosis and Treatment Accelerating advocacy on TB/HIV 15th July, Vienna Diagnosis Microscopy of specially stained sputum is the main test for diagnosing TB (1 2 days) TB bacilli seen in

More information

Tuberculosis. TB the disease, its treatment and prevention

Tuberculosis. TB the disease, its treatment and prevention Tuberculosis TB the disease, its treatment and prevention Tuberculosis TB (tuberculosis) is an infectious disease that usually affects the lungs, although it can affect any part of the body. About 150

More information

Latent Tuberculosis Infection: A Guide for Primary Health Care Providers

Latent Tuberculosis Infection: A Guide for Primary Health Care Providers Latent Tuberculosis Infection: A Guide for Primary Health Care Providers A B Latent Tuberculosis Infection: A Guide for Primary Health Care Providers U.S. Department of Health and Human Services Centers

More information

QUICK REFERENCE FOR HEALTHCARE PROVIDERS

QUICK REFERENCE FOR HEALTHCARE PROVIDERS QUICK REFERENCE FOR HEALTHCARE PROVIDERS Ministry of Health Malaysia Academy of Medicine Malaysia Malaysian Thoracic Society KEY MESSAGES 1. Tuberculosis (TB) is a notifiable infectious disease. Timely

More information

5.07.09. Aubagio. Aubagio (teriflunomide) Description

5.07.09. Aubagio. Aubagio (teriflunomide) Description Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.07.09 Subject: Aubagio Page: 1 of 6 Last Review Date: December 5, 2014 Aubagio Description Aubagio (teriflunomide)

More information

Ottawa Public Health Tuberculosis Screening and Contact Management Guidelines 2012

Ottawa Public Health Tuberculosis Screening and Contact Management Guidelines 2012 Ottawa Public Health Tuberculosis Screening and Contact Management Guidelines 2012 ottawa.ca/health ottawa.ca/sante 613-580-6744 TTY/ATS : 613-580-9656 Tuberculosis Screening and Contact Management Guidelines

More information

T()LED() Name ofpolicy: Mandatory Tuberculosis (TB) Screening of Students from World Health Organization Designated High TB Prevalence Countries

T()LED() Name ofpolicy: Mandatory Tuberculosis (TB) Screening of Students from World Health Organization Designated High TB Prevalence Countries Name ofpolicy: Mandatory Tuberculosis (TB) Screening of Students from World Health Organization Designated High TB Prevalence Countries Policy Number: 3364-81-04-030 T()LED() Revision date: I 0/22/13 Approving

More information

Patient Education CONTENTS. Introduction... 12.2

Patient Education CONTENTS. Introduction... 12.2 CONTENTS Introduction... 12.2 Purpose... 12.2 General Guidelines... 12.3 Language and Comprehension Barriers... 12.4 Education Topics... 12.5 Medical Diagnosis... 12.5 Contact Investigation... 12.6 Isolation...

More information

Florida System of. Tuberculosi Care

Florida System of. Tuberculosi Care Florida System of Tuberculosi Care Table of Contents I. Introduction... 4 II. Florida's Charge... 5 Ill. Florida System of Tuberculosis Care... 5 IV. Florida Department of Health TB Control Section...

More information

Tuberculosis Care with TB-HIV Co-management

Tuberculosis Care with TB-HIV Co-management WHO/HTM/HIV/2007.01 WHO/HTM/TB/2007.380 April 2007 Tuberculosis Care with TB-HIV Co-management INTEGRATED MANAGEMENT OF ADOLESCENT AND ADULT ILLNESS (IMAI) T B HIV WHO Library Cataloguing-in-Publication

More information

Philadelphia TB Newsletter

Philadelphia TB Newsletter Philadelphia Department of Public Health Philadelphia TB Newsletter Volume 6, 6, Issue Issue 1 1 WORLD TB DAY EDITION Spring 2012 500 S. Broad Street, 2nd Floor Philadelphia, PA 19146 Michael Nutter Mayor

More information

TB Intensive San Antonio, Texas November 11 14, 2014

TB Intensive San Antonio, Texas November 11 14, 2014 TB Intensive San Antonio, Texas November 11 14, 2014 TB in the HIV Patient Lisa Armitige, MD, PhD November 13, 2014 Lisa Armitige, MD, PhD has the following disclosures to make: No conflict of interests

More information

How To Treat Tuberculitis

How To Treat Tuberculitis Treatment of Tuberculosis Disease CONTENTS Introduction... 6.2 Purpose... 6.2 Policy... 6.2 Forms... 6.3 Reporting Requirements... 6.3 Basic Treatment Principles... 6.4 Treatment Regimens and Dosages...

More information

Tuberculosis And Diabetes. Dr. hanan abuelrus Prof.of internal medicine Assiut University

Tuberculosis And Diabetes. Dr. hanan abuelrus Prof.of internal medicine Assiut University Tuberculosis And Diabetes Dr. hanan abuelrus Prof.of internal medicine Assiut University TUBERCULOSIS FACTS More than 9 million people fall sick with tuberculosis (TB) every year. Over 1.5 million die

More information

Chapter 8 Community Tuberculosis Control

Chapter 8 Community Tuberculosis Control Chapter 8 Community Tuberculosis Control Table of Contents Chapter Objectives.... 227 Introduction.... 229 Roles and Responsibilities of the Public Health Sector Providers.... 229 Roles and Responsibilities

More information

Tuberculosis Case Management in Prisoners

Tuberculosis Case Management in Prisoners Tuberculosis Case Management in Prisoners Joint Protocol for Corrections Facilities and TB Treatment Supervising Services (Regional Public Health Services and/or Clinical TB Services) in New Zealand Ministry

More information

Massachusetts Tuberculosis Nursing Case Management Protocols. Tuberculosis Elimination Achieved through Management

Massachusetts Tuberculosis Nursing Case Management Protocols. Tuberculosis Elimination Achieved through Management Massachusetts Tuberculosis Nursing Case Management Protocols Tuberculosis Elimination Achieved through Management TABLE OF CONTENTS Page I. Introduction Theoretical Framework 5 5 Goal of Case Management

More information

NOTICE OF PUBLIC HEARING REGARDING PROPOSED CHANGES IN HEALTH CARE SERVICES PROVIDED BY FRESNO COUNTY

NOTICE OF PUBLIC HEARING REGARDING PROPOSED CHANGES IN HEALTH CARE SERVICES PROVIDED BY FRESNO COUNTY NOTICE IS HEREBY GIVEN that a public hearing will commence on Tuesday, September 23, 2008, at 9:00 a.m. (subject to continuance on that date of the hearing) at the Fresno County Board of Supervisors Chambers,

More information