0
Should employee health conduct a PPD skin test on an immunocompromised healthcare worker?
Wiki User
∙ 16y ago
These are straight from the CDC. Persons receiving prolonged therapy with corticosteroids and other immunosuppressive agents may be at risk for reactivation of TB, but the exact risk is unknown (1). Because prednisone (or its equivalent) given >15 mg/d for 2--4 wk suppresses tuberculin reactivity (55,56), and because lower doses or those given intermittently are not associated with TB, this dose is likely the lower limit that could predispose persons to develop TB (57). Reactivation of TB is more likely to occur in persons receiving higher doses of corticosteroids for prolonged periods of time, especially in populations at high risk for TB, but specific thresholds of dose and duration that could increase the risk for TB are unknown For persons who are at highest risk for developing TB disease if they become infected with M. tuberculosis, a cut-off level of >5 mm is recommended. Persons who are immunosuppressed because of disease (e.g., HIV infection) or drugs (e.g., systemic corticosteroids) have a high likelihood of developing TB disease if they are infected with M. tuberculosis. Previous BCG vaccination. Intracutaneous inoculation with BCG is currently used in many parts of the world as a vaccine against tuberculosis. Tuberculin reactivity caused by BCG vaccination generally wanes with the passage of time but can be boosted by the tuberculin skin test. Periodic skin testing may prolong reactivity to tuberculin in vaccinated persons (74). No reliable method has been developed to distinguish tuberculin reactions caused by vaccination with BCG from those caused by natural mycobacterial infections, although reactions of >20 mm of induration are not likely caused by BCG (75). HIV infection and anergy testing. HIV-infected persons may have a compromised ability to react to tuberculin skin tests because of cutaneous anergy associated with progressive HIV immunosuppression (76). However, the usefulness of anergy testing in selecting tuberculin-negative, HIV-infected persons who might benefit from treatment of LTBI has not been demonstrated (77). Who Can Receive a TST?Most persons can receive a TST. TST is contraindicated only for persons who have had a severe reaction (e.g., necrosis, blistering, anaphylactic shock, or ulcerations) to a previous TST. It is not contraindicated for any other persons, including infants, children, pregnant women, persons who are HIV-infected, or persons who have been vaccinated with BCG
Wiki User
∙ 16y ago
Add your answer:
Earn +20 pts
How often should health care facilies conduct emergency preparedness drills?
Healthcare facilities should conduct emergency drills often. This is because there can be an emergency any time.
How the paint to use in painting the door that should be secure from causing of breakages its outer surface to removing from own place?
Any Resident, building employee or contract employee observing an infraction of these Rules, violations of the Declaration or conduct detrimental to the building should report such action to the management office or security person.
Give five examples of areas that should be covered in a policy and procedure manual?
1.) Employee conduct (dress appropriately, no drugs, etc.) 2.) Health & Safety 3.) Discrimination 4.) Time and Attendance 5.) Employee benefits (insurance, paydays, etc.)
What should be Message from hr for the employee?
what should be message form hr for the employee
When should an emergency referral healthcare should be provided to a soldier?
An emergency referral for mental healthcare should be provided to a soldier when they are a danger to themselves or others. If the soldier is suicidal, showing signs of violence, or emotional distress, they should be given mental healthcare immediately.
What should you do if an employee 'looks like' 'smells like' or 'act like' he or she has been using drugs or alcohol and is regulated by the federal government and the supervisor?
Must conduct a "reasonable suspicion" drug or alcohol test.
When should an emergency referral for mental healthcare should be provided to a soldier?
An emergency referral for mental healthcare should be provided to a soldier when they are a danger to themselves or others. If the soldier is suicidal, showing signs of violence, or emotional distress, they should be given mental healthcare immediately.
When should emergency referral for mental healthcare should be provided to a Soldier?
An emergency referral for mental healthcare should be provided to a soldier when they are a danger to themselves or others. If the soldier is suicidal, showing signs of violence, or emotional distress, they should be given mental healthcare immediately.
Will there be a decrease in healthcare workers wages with new healthcare bill?
No, there should not be any correlation between the new healthcare bill and healthcare workers wages. The healthcare bill is particularly focused on the uninsured and the inflating insurance industry costs.
When should an emergency referral to mental healthcare be provided to a soldier?
An emergency referral for mental healthcare should be provided to a soldier when they are a danger to themselves or others. If the soldier is suicidal, showing signs of violence, or emotional distress, they should be given mental healthcare immediately.
What should a welcome memo for a new employee be like?
A welcome memo for a new employee should be very encouraging. You should also let the employee how everyone is excited that they are now working for the company.
How many hours can an employee work before an employer is responsible to cover them with a healthcare benefit?
The number of hours an employee must work before an employer is responsible for providing healthcare benefits varies depending on the country and specific employment laws. In the United States, for example, the Affordable Care Act states that employers with 50 or more full-time equivalent employees must offer healthcare coverage to those employees who work an average of at least 30 hours per week or 130 hours per month. However, smaller businesses and part-time employees may not be subject to the same requirements.
