title: Pulmonary tuberculosis in two employees at a skilled nursing facility: screening and treatment protocols.
abstract: In 2004, two employees in a skilled nursing facility developed active pulmonary tuberculosis (TB). Both employees were purified protein derivative (PPD) test positive for more than 10 years before developing the disease. Four employees converted to positive PPD status during the exposure investigation--two at baseline and two at the 12-week follow up. No additional cases of active TB were found. Several changes and additions have been made to the TB screening protocol after these two index cases were discovered.
authors.affiliation: Corporate Health, Palomar Pomerado Health, Poway, CA, USA.
authors.forename: Keira
authors.initials: K
authors.lastname: Dillon
authors.forename: Donald
authors.initials: D
authors.lastname: Herip
authors.forename: Ellen
authors.initials: E
authors.lastname: Petersen
mesh_terms: D000328:Adult; D000368:Aged; D004196:Disease Outbreaks / Q000517:prevention & control*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D017053:Infection Control; D008297:Male; D008403:Mass Screening / Q000379:methods*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000517:prevention & control; D012866:Skilled Nursing Facilities; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000517:prevention & control; D014481:United States / Q000453:epidemiology