There is a cost for testing samples. The Lab will provide guidance on sample collection procedures . Do not take arbitrary samples or use unauthorized containers. PWC will tell you exactly where and how to take the samples and will provide collection bottles, if necessary. The 9 Month INH regimen is not optional, it is the new standard of care .
Many reactors miss doses of their medication.
There is no need to restart their regimen as long as there are not significant gaps in therapy. The general guidance will be that those on the 9 month therapy should complete 270 doses within a 12 month time frame. If someone stops therapy for 2 months they should be examined to rule out TB and determine if the prophylaxis can be completed within the general guidelines. Please remember that you have only 7 days to place and READ a PPD when new members join the ship that have not had one read in the past 12 months. This is straight out of the CDC MMWR Vol.