TB KaSPar
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This register is based on a publication from the United States Centers for Disease Control and Prevention (CDC) (1). It is intended to be used to list the progress of health care workers being screened for tuberculosis (TB). It may also be used to derive performance indicators for screening, initiation of treatment and TB preventive treatment (TPT).
This tuberculosis (TB) infection screening form is based on a publication from the United States Centers for Disease Control and Prevention (CDC) (1). It is intended for screening health care workers periodically for TB. Other health screening (e.g. for diabetes, HIV, hypertension or malnutrition) can be added to this form as needed.
The facility tuberculosis (TB) infection prevention and control (IPC) plan given in this annex is based on a publication from the United States Centers for Disease Control and Prevention (CDC) (1).
This annex is based on a tool produced by Médecins Sans Frontières (MSF) (1).
Instructions: This tool helps to give an idea of the risk of transmission of Mycobacterium tuberculosis in health care facility or congregate settings. The results should be completed by the infection prevention and control (IPC) focal person and interpreted by the IPC committee. For the Yes/No questions, a Yes answer indicates good tuberculosis (TB) IPC practices. Any pertinent information on No answers is noted in the Comments section below each table.
This annex provides two tables:
Monitoring and evaluation are key factors in the success of a TB IPC intervention because they allow progress to be reviewed and plans to be adapted. In contrast to other TB programme interventions, which focus on patient coverage and outcome, much of the monitoring of TB IPC relies heavily on process indicators relating to the enhancement of facilities and changes in behaviour and practices. Monitoring and evaluation addresses questions such as: Is an IPC committee in place? Is triage being performed? Is equipment for mechanical ventilation in place? Has training been conducted?
5.1 TB IPC in congregate settings
Respiratory protection should be implemented as a part of a package of TB IPC interventions. However, inappropriate implementation of respiratory protection measures, or reliance on these measures alone, may create a false sense of security and increase the risk of TB (13). The available studies assessing the effectiveness of respiratory protection in reducing the risk of M. tuberculosis transmission are highly heterogeneous. The absolute reduction in TST conversion ranged from 4.3% to 14.8% (13).
Administrative controls are interventions aimed at reducing exposure and thus the transmission of M. tuberculosis in health facilities and congregate settings. These controls include triage to identify people with presumptive TB and then separate them, prompt evaluation for TB, initiation of effective TB treatment, and access to tools for respiratory protection.