Family Medicine, Internal Medicine and Surgery Case 10

UnityPoint Clinic Urgent Care - Altoona

00 Patients
Waiting Now

UnityPoint Clinic Urgent Care - Ingersoll

00 Patients
Waiting Now

Urgent Care - Ankeny

00 Patients
Waiting Now

Urgent Care - Lakeview

02 Patients
Waiting Now

Urgent Care - Merle Hay

02 Patients
Waiting Now

Urgent Care - Southglen

03 Patients
Waiting Now

Urgent Care - Urbandale

01 Patients
Waiting Now

Virtual Care - Receive Care Now

X Wait Times
Iowa Lutheran Family Medicine Residency Program

PIAC Case Series

ANSWERS
Case 10 - Harbert, 35 years old

Harbert is a 35 y/o Nigerian male with weight loss and cough. Pulmonary TB is suspected.

Questions

1) What isolation precautions are indicated?

  • What does airborne isolation for TB entail?
  • Why is this different than airborne isolation for varicella/diss zoster?

Answers

  • AIRBORNE isolation is utilized for diagnosed or suspected pulmonary TB. This involves use of a room with negative airflow and HCW use of a fit-tested N95 mask or PAPR to enter room.
  • Only immune HCW should care for patient with varicella (or disseminated zoster). There is no reliably effective immunity for TB (re-infection can occur) and N-95 mask or PAPR must be used.

Respiratory Protection Options

  • N-95 Mask - must be fit-tested by Employee Health prior to use
  • PAPR - no fit testing needed


Questions

2) Do HCW or family members need PPD testing?

Answers

 If exposure occurred (ie, AIRBORNE precautions were not instituted promptly), PPD testing of exposed HCW is done at 3 months to look for evidence of transmission. Testing of family and other contacts outside of the health-care setting is carried out by the public health department.

Return to Case Series list