Tuberculosis Control

May 15, 2006 Revisions to 2004 N.C. TB Manual

Rule 10A NCAC 41A .0205 - CONTROL MEASURES - TUBERCULOSIS (amended April 1, 2006) replaces the previous text for 10A NCAC 41A .0205 in Chapter XI. See the April 21, 2006 memo.

May 6, 2005 Revisions to 2004 N.C. TB Manual

The following corrections/revisions were made May 6, 2005 to the 2004 N.C. TB Control Policy Manual. Items in bold reflect policy revisions or significant updates.

Chapter II

P. 5 Item l.1 → correction of NCAC reference

Chapter IV

P. 1 Item 5 addition of diagnostic testing guidelines for pediatric cases

P. 5 Item 4.b new statement about steroids for meningeal TB in children

P. 13 Item 2.d perform hearing/ataxia testing every month while taking SM

P. 16 Item K.2.e → changed e to d

P. 29 Item Z maximum dose for daily ethambutol in children and adults is now 2.5 gm

Item AA corrected table for PZA; twice weekly dose for 56-75 kg is 3000 mg (40.0-53.6)

P. 25-30 New English and Spanish model Isolation Orders for TB Control and for Limiting Freedom of Movement and Access

Chapter V

P. 2 Item B.1 → corrected NCAC reference

P. 2 Items B.2 and B.3 new recommendations for annual tuberculin skin testing

P. 6 Item 7.c → now reads "…treat for total of 9 months to include a minimum of 4 months…"

Chapter VII

P. 1 Item A.1.c first bullet…ages 5 through 14

P. 1 Item A.1.e → made contact pleural (contact s)

P. 4 Items C.3 & 4 → repeat chest x-ray in children <15 if they convert their TST at 3 mo.

Chapter VIII

P. 5 Item C.1-4 → added "infectious" before TB cases in the 2nd bullets

Chapter IX

P. 6 Deleted "TB" from Nurse Consultant's signature line

P. 8 Deleted "TB disease" from 2 nd bullet of agreement

P. 10 Revised map of TB Nurse Consultant Regions and updated contact information

P. 18 Added "FDA" in front of 'approved' under 4.a, both bullets

P. 51-53 Revised Clinical Pathway for Managing TB Suspects/Cases

P. 54 Added District of Columbia information to TB Control Offices

Chapter X

P. 3 Revised record retention schedule for health departments

Chapter XI

P. 30 Added rule 10 NCAC 41A .0202 Control Measures - HIV





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