+ All Categories
Home > Documents > TB Presentation4

TB Presentation4

Date post: 05-Apr-2018
Category:
Upload: athraa-hannawa
View: 228 times
Download: 0 times
Share this document with a friend

of 27

Transcript
  • 8/2/2019 TB Presentation4

    1/27

  • 8/2/2019 TB Presentation4

    2/27

    Mycobacterium Tuberculosis

  • 8/2/2019 TB Presentation4

    3/27

    Decline

    During 2000, a total of 16,377 cases oftuberculosis (TB) (5.8 cases per100,000 of population) were reported toCDC from the 50 states and the Districtof Columbia, representing a 7%decrease from 1999 and a 39%

    decrease from 1990. In 1992 there wasa resurgence of TB in the United States.

  • 8/2/2019 TB Presentation4

    4/27

    Reported Cases

    Ethnicity

    Source: CDC

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    5/27

    Rate per Population

    Source: CDC

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    6/27

    Mycobacterium Tuberculosis

    (TB) A slow growing bacteria that primarily

    affects the respiratory tract of humans.

    Other areas that can be affected:

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    7/27

    TB Growth

    What happens after the bacteria haveentered the body?

    They begin to grow in the alveoli (small airsacs) of the lungs and then spreadthroughout the lung and body.

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    8/27

    5

    LungAnatomy

    3

    4

    Source: CDC

    1

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    9/27

    Incubation

    What is the usual incubation period?2-10 weeks for TB infection

    Up to 2 years for TB disease (highest risk) TB infected, Latent TB:Positive Skin Test-not contagious

    TB disease/active:Showing symptoms and is highlycontagious

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    10/27

    Treatment

    Multidrug resistant

    They are trying many new different drug

    combinations to combat the drug-resistantstrains.

    DOT

    Directly Observed Therapy

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    11/27

    Directly Observed Therapy

    DOT

    Directly Observed Therapy

    Source: CDC

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    12/27

    Testing

    Two major screenings available to thegeneral population:

    Tine Test (3 prong)PPD (Purified Protein Derivative)

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    13/27

    PPD Testing

    Source: CDC

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    14/27

    Transmission

    Inhalation of infectious particles:

    Infectious particles are carried in the air

    after an active TB individual speaks,coughs, sneezes, or certain medicalprocedures are performed.

    These particles are called dropletnuclei.

    1-5 microns/ 1/5000 of an inch in size

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    15/27

    ..

    .

    ..

    Infected Person

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    16/27

    .

    ..

    ..

    .

    ..

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    ... ...

    .

    .

    .

    .

    ..

    .

    ..

    Infected Person Cough-Sneeze-Talking

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    17/27

    .

    ..

    ..

    .

    ..

    .

    ..

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    ... ...

    .

    .

    .

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    .

    ..

    Infected Person

    Transmitting Droplets

    Cough-Sneeze-Talking

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    18/27

  • 8/2/2019 TB Presentation4

    19/27

  • 8/2/2019 TB Presentation4

    20/27

    Which lung is normal?

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    21/27

    Respirator

    A respirator is a personal protectivedevice that removes air contaminants

    such as dust, mists, and aerosols fromthe ambient air.

    The ones used to protect against TB,

    filter out material down to 0.3 microns at95% efficiency (N95).

    NIOSH approved

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    22/27

    Respirator

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    23/27

    Respirator

    N 95 NIOSHApproved

    Must befit tested

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    24/27

    AFB Isolation

    Acid Fast Bacilli (AFB) isolation room:

    Warning signs

    Must be maintained under negativepressure.

    Exhaust air from the isolation room awayfrom air intakes for the building, usually onthe roof.

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    25/27

    Filters

    High Efficiency Particulate Air filter(HEPA):

    Used to filter air for recirculation in an AFBisolation room at 0.3 microns at 99.97%efficiency.

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    26/27

    Settings at Risk

    High Risk Settings:

    Health care settings

    Correctional institutionsHomeless shelters

    Long-term care facilities for the elderly

    Drug treatment centers

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htmhttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm
  • 8/2/2019 TB Presentation4

    27/27

    Where are your risks?

    http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm

Recommended