15 Miss. Code. R. 16-1-47.12.3 - Resident Admission Requirements to Rule Out Active Tuberculosis
1. The following are to be performed and
documented within 30 days prior to the resident's admission to the licensed
facility:
A. A TB signs and symptoms
assessment by a licensed physician, physician's assistant, or nurse
practitioner; and
B. A chest x-ray
taken and have a written interpretation.
2. Admission to the facility shall be based
on the results of the required tests as follows:
A.
Residents with an abnormal chest
x-ray and/or signs and symptoms assessment shall have the first step of
a two-step TST placed and read by certified personnel OR an IGRA drawn, and
results documented within 30 days prior to the resident's admission to the
"Licensed Facility." Evaluation for active TB shall be at the recommendation of
the MSDH and shall be prior to admission. If TB is ruled out and the first step
of the TST is negative, the second step of the two-step TST shall be completed
and documented within 10-21 days of admission. TST administration and reading
shall be done by certified personnel. If an IGRA is done, a TST (first or
second step) is not done.
B.
Residents with a normal chest x-ray and no signs or symptoms of TB
shall have a baseline IGRA OR a TST performed with the initial step of the
two-step TST placed on or within 30 days prior to the day of admission. IF TST
is done, the second step shall be completed within 10-21 days of the first
step. TST administration and reading shall be done by certified personnel. If
an IGRA is done, a TST is not done (first or second step).
C.
Residents with a significant
TST OR positive IGRA upon baseline testing or who have documented prior
significant TST shall be monitored regularly for signs and symptoms of active
TB [cough, sputum production, chest pain, fever, weight loss, or night sweats,
especially if the symptoms have lasted longer than three (3) weeks] and if
these symptoms develop, shall have an evaluation for TB per the recommendations
of the MSDH within 72 hours.
D.
Residents with a non-significant TST or negative IGRA upon
baseline testing shall have an annual TST or IGRA within 30 days
of the anniversary of their last test. Note: Once IGRA testing is used, IGRA
testing should continue to be used rather than TST testing.
E.
Residents with a new significant TST
or newly positive IGRA on annual testing shall be evaluated for active
TB by a licensed physician, physician's assistant, or nurse
practitioner.
F.
Active or
suspected active TB admission. If a resident has or is suspected to have
active TB, prior written approval for admission to the facility is required
from the MSDH TB State Medical Consultant.
G.
Exceptions to TST/IGRA requirement
may be made if:
i. Resident has prior
documentation of a significant TST/positive IGRA.
ii. Resident has received or is receiving a
MSDH approved treatment regimen for latent TB infection or for active TB
disease.
iii. Resident is excluded
by a licensed physician, physician's assistant, or nurse practitioner due to
medical contraindications.
Notes
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