Re: tb testing

From: DoctorJoe@aol.com
Sat Feb 15 09:34:28 2003


In a message dated 2/15/03 10:31:05, cchamber@gorge.net writes:

> Question for the group. My practice is discussing the implementation of 
> PPD testing in our pregnant patients. We've discussed the merits of 
> universal screening versus targeted screening in asymptomatic patients. 
> I was wondering about others approach to this problem. Our community 
> not so much our practice does have a sizable migrant worker population 
> that has a relatively high frequency of TB. In addition, are you 
> electing to proceed in the workup (i.e. Chest Xray)  with any PPD+ 
> patients during pregnancy versus waiting till after delivery
>

I think the usual protocol is to get an x-ray and if negative, treat after delivery. If the x-ray is positive for active disease, then treat DURING pregnancy, since neonatal disease is possible.

Joe P.





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