Hepatitis B Vaccination: Methods of Compliance:
Hepatitis B Vaccination : Methods of Compliance Hepatitis B vaccination shall be made available after the employee has received training on the hepatitis B vaccine and within 10 working days of initial assignment to all employees who have occupational exposure unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons. If the employee initially declines hepatitis B vaccination but at a later date while still covered under the standard decides to accept the vaccination, the employer shall make available the hepatitis B vaccination at that time. The employer shall assure that employees who decline to accept hepatitis B vaccination offered by the employer sign a mandatory Hepatitis B Vaccine Declination Form.
Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings::
Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings: TB Infection-Control Program for Settings in Which Patients with Suspected or Confirmed TB Disease Are Expected To Be Encountered: Source: MMWR, December 30, 2005 Assign supervisory responsibility for the TB infection-control program Develop a written TB infection- control plan Conduct a problem evaluation if a case of suspected or confirmed TB disease is not promptly recognized and appropriate airborne precautions not initiated, or if administrative, environmental, or respiratory-protection controls fail Perform a contact investigation in collaboration with the local or state health department Collaborate with the local or state health department to develop administrative controls Implement and maintain environmental controls Perform ongoing training and
education for Healthcare Workers Create a plan for accepting patients who have suspected or confirmed TB disease if they are transferred from another setting Implement a respiratory- protection program
QuantiFERON-TB Gold::
QuantiFERON-TB Gold: Source: Division of Tuberculosis Elimination, CDC, 11/16/07 The QuantiFERON ® -TB Gold test (QFT-G) is a whole- blood test for use as an aid in diagnosing Mycobacterium tuberculosis infection, including latent tuberculosis infection (LTBI) and tuberculosis (TB) disease. This test was approved by the U.S. Food and Drug Administration (FDA) in 2005. Requires a single patient visit to draw a blood sample. Results can be available within 24 hours. Does not boost responses measured by subsequent tests, which can happen with tuberculin skin tests (TST). Is not subject to reader bias that can occur with TST. Is not affected by prior BCG (bacille Calmette-Guérin) vaccination. What are the advantages?