| Yale
New Haven Hospital QISS GB 325 New Haven, CT 06504 USA Dr. Jeff Topal 688-4634 |
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| Discharge Planning, pg2 |
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| Any suspected or confirmed case of tuberculosis who has been started on therapy must be reported to the local and state health departments before discharge from the hospital. Tuberculosis is a
Category 1 Reportable Disease-reportable within 24 hours of the recognition or strong suspicion of disease.
For help in reporting TB to the state and local health departments, contact Hospital Epidemiology at 8-4634.
Connecticut state public health regualtions requires predischarge collaborative planning with public health officials before a patient with active TB can be discharged so as to ensure continuation of therapy.
Directly Observed Therapy (DOT) has become the standard of
care for outpatient treatment of tuberculosis. The inability to
predict which patients will be non-adherent to self-administered
therapy, the risk of development of MDR-TB in those are not
adherent and the proven success of DOT all support the
recommendation that all TB cases receive DOT.
The patient's degree of infectivity must be assessed for discharge.
In general, a patient should meet the criteria for the
discontinuation of Airborne Precautions before discharge unless the
local health department deems otherwise.
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Last modified: February 27, 2001.
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