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Tuberculosis Control

QuestionAnswer
What is the Tuberculosis Control Program instruction? BUMEDINST 6224.8B
What is the purpose of the instruction? To provide policy and guidance for controlling tuberculosis among the Navy and military sealift commands.
What is the form number for the Initial Tuberculosis Exposure Risk Assessment? NAVMED 6224/7
What is the form number for the Monthly Evaluation for patients receiving treatment for Latent Tuberculosis Infection? NAVMED 6224/9
What is the form number for the Interim Tuberculosis Exposure Risk Assessment? NAVMED 6224/8
Who ensure subordinate medical treatment facilities (MTF’s) maintain an effective tuberculosis control program? Navy Medicine Region Commanders
Who controls TB in their supported populations by managing local control efforts in accordance with this directive and current American Thoracic Society, Centers for Disease Control and Prevention, and World Health Organization guidelines? Commanders, commanding officers, officers in charge of MTFs, and Fleet or Fleet Marine Force Surgeons
Who assist Navy Environmental Preventive Medicine Units (NAVENPVNTMEDUs) in the conduct, completion, and reporting of TB contact investigations? Commanders, commanding officers, officers in charge of MTFs, and Fleet or Fleet Marine Force Surgeons
Who provides technical support as needed to all Navy and Marine Corp units in their geographic area of responsibility? Officers in Charge of NAVENPVNTMEDUs
Who conducts contact investigations of all active TB cases within the DON in their AOR? Officers in Charge of NAVENPVNTMEDUs
What is the form number for the Adult Immunizations Record? NAVMED 6230/4
What is the form number for the Child Immunizations Record? NAVMED 6230/5
What PPD stand for? Purified Protein Derivative
What is the approved tuberculin skin test material for the routine Mantoux test? The Tween-80-stabilized intermediate strength PPD (5 TU equivalent)
Where is the administration of a PPD recorded into? Either Armed Forces Health Longitudinal Technology Application (AHLTA), Medical Readiness Reporting System (MRRS) or Shipboard Non-Tactical ADP Program (SNAP) Automated Medical System (SAMS);NAVMED6230/4
The TST reaction must be read within _______ after PPD administration. Measure induration to the nearest whole millimeter (mm). 48 to 72 hours
If a person returns more than ______ after TST placement, record the result as______ and apply a TST on the opposite forearm. 72 hours, “Not Read”
A person who has never received a TST will received ______ placements to ensure accurate results. 2
TRUE or FALSE; A person who has been previous Bacillus Calmette Guérin (BCG) immunization can't receive a PPD. FALSE
TRUE or FALSE; TST are safe for pregnant woman's. TRUE
A person with recent close contacts of active TB disease patients will be declared positive TST with a PPD of ? 5 mm
A person with recent immigrants (i.e., within the last 5 years) from high TB prevalence countries will be declared positive TST with a PPD of ? 10 mm
A person with no risk factors for TB will be declared positive TST with a PPD of ? 15 mm
A person with Mycobacteriology laboratory personnel will be declared positive TST with a PPD of ? 10 mm
A person with persons with clinical conditions that place them at increased risk will be declared positive TST with a PPD of ? 10 mm
A person with patients suspected of having active TB disease will be declared positive TST with a PPD of ? 5 mm
A person with persons with fibrotic or other changes on chest radiograph consistent with prior TB will be declared positive TST with a PPD of ? 5 mm
How long is LTBI Treatment? Isoniazid (INH) 5 mg/kg (300 mg max) and vitamin B6 daily for 9 months is the preferred treatment regimen to accomplish 270 daily doses within 12 months.
After completion of LTBI Treatment, How often the service member should report for a LTBI Screening? Annually
During LTBI Treatment, How often the service member should report for a LTBI Screening? Monthly