After a decades-long slog toward elimination of tuberculosis in the United States, 2015 saw a slight increase in the number of domestic TB cases. While around half of all reported cases occurred in Texas, California, Florida, and New York, 29 states and the District of Columbia reported increases over 2014. While the Centers for Disease Control and Prevention suggests that lower funding of TB prevention programs may be on reason, urgent care clinicians faced with …
Read MoreTuberculosis: Post-Exposure Testing and Management
Urgent message: Patients who present after exposure to tuberculosis test the clinician’s ability to assimilate broad and generalized information, including a unique set of historical, clinical, and laboratory data required to customize appropriate, patient-specific assessment and treatment plans. By Jacqualine Dancy, PA-C, MPAS Not long after I contributed the article Tuberculosis Screening in Urgent Care Medicine (JUCM, July/August 2010), our urgent care clinic was faced with the exposure to tuberculosis of numerous employees at a …
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Tuberculosis Screening in Urgent Care Medicine
Urgent message: Often placed in the role of first-line clinicians with respect to testing for and treating infectious disease, urgent care practitioners are ideally suited to provide screening services for tuberculosis. Introduction In addition to urgent care services, many of us also offer occupational medicine and provide post-offer/pre-employment evaluations. As such, urgent care clinicians play a key role in screening for tuberculosis (TB). In fact, understanding the complexity of the screening process is essential to …
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