TBBloodTesting - Staff Wellness

Tuberculosis (TB) can have a negative impact on health systems, including:

Lost working hours
Reduced productivity
Quality of care challenges due to staffing shortages and replacement of personnel

With Quest Diagnostics, screening for TB and latent TB infection (LTBI) can help minimize the impact TB can have on your organization and reduce its transmission.

Are you ready to deal with TB?

Test your knowledge of TB and see how you stack up. Take this short quiz to see if you’re a TB expert. Select the correct answer below. Would you rather schedule a meeting?

Question 1

of the world's population
is infected with TB.¹

Question 2

A typical TB case requires
days of therapy through
medications to treat the disease.²

Question 3

A sick staff member may lose
of work time.³

Question 4

out of every 10 TB cases in the US
occur among non–US-born persons.²

Question 5

More than of US TB cases
are associated with reactivation
of longstanding, untreated LTBI.⁴

Question 6

Healthcare personnel are at
greater risk of LTBI than
the general population.⁵

Previous quiz participant scores

50%

65%

81%

56%

49%

21%

TB testing has come a long way

Skin versus blood testing

Guideline-driven TB testing

The United States Preventive Services Task Force⁸ Grade B recommendation:

Foreign-born adults from higher prevalence countries, regardless of age, duration in the US, or co-morbidities

Individuals in congregate settings

Ensures LTBI screening for at-risk adults is covered by most private health plans, Medicaid, and Medicare

American Thoracic Society, Infectious Diseases Society of America, and CDC⁹

IGRAs are preferred for patients 5 years or older who are likely to be infected with Mtb, have a low or intermediate risk of disease progression, has been decided that testing for LTBI is warranted, and either have a history of BCG vaccination or are unlikely to return to have their TST read

IGRA or TST can be used as the first-line diagnostic test in individuals 5 years or older who are likely to be infected with Mtb with high risk of progression
TST is preferred for children <5 years of age, but an IGRA may be deemed the preferred diagnostic test in some situations, when the child is over 3 years of age

American Academy of Pediatrics¹⁰

IGRAs or tuberculin skin test can be used to detect TB infection among at-risk children >2 years of age
IGRAs are preferred for children who are BCG-vaccinated or unlikely to return

Children with HIV infection should receive annual IGRA testing or TST
Risk assessment for TB should be performed at the first encounter and then annually

Thank you!

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Download your free TB resource guide

Learn why many studies support TB blood testing as the most effective strategy when screening healthcare personnel for TB.^11,12 Fill out the fields below for your complimentary TB guide.

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References

Centers for Disease Control and Prevention (CDC). Tuberculosis (TB). Data and statistics. December 31, 2018. Accessed August 28, 2019. https://www.cdc.gov/tb/statistics/default.htm
CDC. Take on tuberculosis infographic. September 2018. Accessed August 28, 2019.
https://www.cdc.gov/tb/publications/infographic/pdf/take-on-tuberculosis-infographic.pdf
World Health Organization. Guidelines for workplace TB control activities: the contribution of workplace TB control activities to TB control in the community.
http://www.stoptb.org/assets/documents/resources/publications/technical/workplace_guidelines.pdf. Accessed July 18, 2019.
CDC. CDC features. Burden of TB in the United States. November 15, 2018. Accessed August 28, 2019.
https://www.cdc.gov/features/burden-tb-us/index.html
Uden L, Barber E, Ford N, Cooke GS. Risk of tuberculosis infection and disease for health care workers: an updated meta-analysis. Open Forum Infect Dis. 2017;4(3):ofx137. doi: 10.1093/ofid/ofx137
CDC. Tuberculosis. Testing and diagnosis. Testing for TB infection. April 14, 2016. Accessed August 28, 2019.
https://www.cdc.gov/tb/topic/testing/tbtesttypes.htm
CDC. Technical instructions for panel physicians and civil surgeons. Tuberculosis technical instructions for civil surgeons. September 2018. Accessed August 28, 2019. https://www.cdc.gov/immigrantrefugeehealth/exams/ti/civil/tuberculosis-civil-technical-instructions.html
U.S. Preventive Services Task Force. Final recommendation statement. Latent tuberculosis infection: screening. September 2016. Accessed August 28, 2019. https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/latent-tuberculosis-infection-screening
Lewinsohn DM, Leonard MK, LoBue PA, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention clinical practice guidelines: diagnosis of tuberculosis in adults and children. Clin Infect Dis. 2017;64(2):e1-e33. https://www.thoracic.org/statements/resources/tb-opi/diagnosis-of-tuberculosis-in-adults-and-children.PDF. doi:10.1093/cid/ciw694
Kimberlin DW, Brady MT, Jackson MA, Long SS. Red Book® 2018–2021: report of the Committee on Infectious Diseases. American Academy of Pediatrics. 2018.
Eralp MN, Scholtes S, Martell G, Winter R, Exley AR. Screening of healthcare workers for tuberculosis: development and validation of a new health economic model to inform practice. BMJ Open. 2012;2(2):e000630. doi: 10.1136/bmjopen-2011-000630
Nienhaus A, Schablon A, Costa JT, Diel R. Systematic review of cost and cost-effectiveness of different TB-screening strategies. BMC Health Serv Res. 2011;11:247. doi: 10.1186/1472-6963-11-247

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