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Public Health Nursing Practice Manual

Tuberculosis (TB) Contact Follow-up: Individual

Standard of Practice

Description

Practice

Planning (Cont.)

    • Assess the susceptibilities of individual contacts (e.g. high risk factors, age, HIV status, immunocompromising conditions, etc.).

    • Refer to the Memo: School Contact Investigation (11- 9-99), the Los Angeles Unified School District and Tuberculosis Control Procedure for Contact Investigation and Reporting Suspects and Confirmed Cases of TB (Students, Employees and Volunteers Grade K-12 Only) (8-4-99), and General Protocols for Follow up (8-4-99) for follow up of high or low risk contacts in schools.

    • Classify contact(s) as high or low risk to becoming infected and give follow-up priority to high risk.

    • Initiate a medical record for high-risk contacts.

  • 2.

    PHN Intervention – Case Finding:

    • Initiate contact follow-up as per TB Contact Investigation Standards in the TB Control Program Manual 2003 (Appendix L).

    • Explain to the contact that the identity of the index case is confidential.

    • Administer TST as indicated.

    • Offer TST and chest x-ray as indicated for worksite and/or Industrial Contact Investigation.

    • Initiate appropriate forms: H-289 and H-304.

  • 3.

    PHN Intervention – Health Teaching/Counseling:

    • Educate contact regarding the disease process, precautions to prevent spread of disease, necessary follow-up and medication prescribed.

    • Educate regarding TB infection vs. TB disease.

© 2007 LAC DPH-Public Health Nursing

C 52

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