To test and evaluate employees who have had an exposure to a person with active tuberculosis. Exposed employees are screened with TB skin testing at baseline and 10-12 weeks following the exposure. TB baseline test may be the annual test if this has been completed within the past 12 months or less.
- If a person with active tuberculosis or a suspicion of active TB was seen in the health care site, U-M Occupational Health Services should be called to report the exposure. U-M OHS will contact Infection Control Services and they will conduct an investigation regarding exposure. The off-site clinic may first hear of an exposure through Infection Control Services who monitors microbiology data for any evidence of tuberculosis.
- Infection Control Services will develop the list of exposed employees based on the circumstances of exposure of each healthcare worker to the infected patient.
- U-M Occupational Health Services will notify all employees involved in a potential TB exposure. Information about the exposure period and follow-up testing will be included.
- Tuberculin skin test negative employees who have not had a skin test within the past 12 months are contacted to have a baseline TB skin test done. Follow-up testing is completed 10-12 weeks after the last possible date of exposure. U-M OHS will notify employees when they are due for the follow-up skin test. Skin test screening will enable U-M OHS to determine whether any employee in our healthcare system may have been infected with Tuberculosis as a result of an occupational exposure. Post-exposure TB skin testing is mandatory.
- Document TB test was applied and read using the on-line TB documentation form which will be sent electronically to U-M Occupational Health Services.
- Tuberculin skin test positive employees are given information regarding their exposure and educated regarding the signs and symptoms of tuberculosis.
- Any employee who tests positive either at the baseline or at the follow-up test should be reported to U-M Occupational Health Services for follow-up.