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North Carolina School Health Program Manual
General Statutes, State Policies, and Administrative Code
Appendix II Item # 3
Communicable Disease
______________________________________________________________________
School Health Program Manual – January 2010
N. C. Division of Public Health – Children & Youth Branch – School Health Unit
Appendix II # 3- 16
with HIV infection or AIDS upon
employment. The two- step skin test
method shall be used if the individual
has not had a documented tuberculin
skin test within the preceding 12
months; and
( 6) persons with HIV infection or
AIDS.
A copy of " Diagnostic Standards and
Classification of Tuberculosis in Adults and
Children" is available by contacting the
Division of Public Health, 1931 Mail
Service Center, Raleigh, North Carolina
27699- 1931 or by accessing the Centers for
Disease Control and Prevention website: at
http:// www. cdc. gov/ nchstp/ tb/ pubs/ mmwrh
tml/ Maj_ guide/ cdc_ ats_ guidelines. htm
( c) Treatment and follow- up for
tuberculosis infection or disease shall be in
accordance with “ Treatment of
Tuberculosis” published by the American
Thoracic Society. The recommendations
contained in this reference shall be the
required control measures for testing,
treatment, and follow- up for tuberculosis
patients, contacts and suspects, except as
otherwise provided in this Rule and are
incorporated by reference including
subsequent amendments and editions.
Copies of this publication are available by
contacting the Division of Public Health,
1931 Mail Service Center, Raleigh, North
Carolina 27699- 1931 or by accessing the
Centers for Disease Control and Prevention
website at
http:// www. cdc. gov/ nchstp/ tb/ pubs/ mmwrh
tml/ Maj_ guide/ cdc_ ats_ guidelines. htm.
( d) The attending physician or designee
shall instruct all patients treated for
tuberculosis regarding the potential side
effects of the medications prescribed and
prescribed medications, including
instructions to promptly notify the
physician or designee if side effects occur.
( e) Persons with active tuberculosis
disease shall complete a standard multi-drug
regimen, unless otherwise approved by
the State Tuberculosis Medical Director or
designee, and shall be managed using
Directly Observed Therapy ( DOT), which
is the actual observation of medication
ingestion by a health care worker ( HCW).
( f) Persons with suspected or known
active pulmonary or laryngeal tuberculosis
who have sputum smears positive for acid
fast bacilli are considered infectious and
shall be managed using airborne
precautions, including respiratory isolation,
or isolation in their home, with no new
persons exposed. These individuals are
considered noninfectious and use of
airborne precautions, including respiratory
isolation or isolation in their home, may be
discontinued when:
( 1) They have three consecutive sputum
smears collected at least eight hours apart
which are negative; and
( 2) They have been compliant on
tuberculosis medications to which the
organism is judged to be susceptible and
there is evidence of clinical response to
tuberculosis treatment.
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| Title | North Carolina school health program manual - Page 583 |
| Full Text | North Carolina School Health Program Manual General Statutes, State Policies, and Administrative Code Appendix II Item # 3 Communicable Disease ______________________________________________________________________ School Health Program Manual – January 2010 N. C. Division of Public Health – Children & Youth Branch – School Health Unit Appendix II # 3- 16 with HIV infection or AIDS upon employment. The two- step skin test method shall be used if the individual has not had a documented tuberculin skin test within the preceding 12 months; and ( 6) persons with HIV infection or AIDS. A copy of " Diagnostic Standards and Classification of Tuberculosis in Adults and Children" is available by contacting the Division of Public Health, 1931 Mail Service Center, Raleigh, North Carolina 27699- 1931 or by accessing the Centers for Disease Control and Prevention website: at http:// www. cdc. gov/ nchstp/ tb/ pubs/ mmwrh tml/ Maj_ guide/ cdc_ ats_ guidelines. htm ( c) Treatment and follow- up for tuberculosis infection or disease shall be in accordance with “ Treatment of Tuberculosis” published by the American Thoracic Society. The recommendations contained in this reference shall be the required control measures for testing, treatment, and follow- up for tuberculosis patients, contacts and suspects, except as otherwise provided in this Rule and are incorporated by reference including subsequent amendments and editions. Copies of this publication are available by contacting the Division of Public Health, 1931 Mail Service Center, Raleigh, North Carolina 27699- 1931 or by accessing the Centers for Disease Control and Prevention website at http:// www. cdc. gov/ nchstp/ tb/ pubs/ mmwrh tml/ Maj_ guide/ cdc_ ats_ guidelines. htm. ( d) The attending physician or designee shall instruct all patients treated for tuberculosis regarding the potential side effects of the medications prescribed and prescribed medications, including instructions to promptly notify the physician or designee if side effects occur. ( e) Persons with active tuberculosis disease shall complete a standard multi-drug regimen, unless otherwise approved by the State Tuberculosis Medical Director or designee, and shall be managed using Directly Observed Therapy ( DOT), which is the actual observation of medication ingestion by a health care worker ( HCW). ( f) Persons with suspected or known active pulmonary or laryngeal tuberculosis who have sputum smears positive for acid fast bacilli are considered infectious and shall be managed using airborne precautions, including respiratory isolation, or isolation in their home, with no new persons exposed. These individuals are considered noninfectious and use of airborne precautions, including respiratory isolation or isolation in their home, may be discontinued when: ( 1) They have three consecutive sputum smears collected at least eight hours apart which are negative; and ( 2) They have been compliant on tuberculosis medications to which the organism is judged to be susceptible and there is evidence of clinical response to tuberculosis treatment. |
