Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 1 › Subtitle 07 - HOSPITALS › Chapter 10.07.20 - Intermediate Care Facilities for Individuals with Intellectual Disabilities or Persons with Related Conditions (ICF/IID) › Section 10.07.20.06 - Tuberculosis Screening

Current through Register Vol. 51, No. 14, July 12, 2024
A. An
				  employee or volunteer may be certified as required in Regulation .05D(3) in one
				  of the following four ways:
(1) If the
				  individual has documentation of a negative tuberculin test by the Mantoux
				  method within the past 24 months and has, by history, no contact with a person
				  with tuberculosis in a communicable form subsequent to this documentation or no
				  symptoms consistent with tuberculosis, the individual shall be considered to be
				  a negative tuberculin reactor and to be free from tuberculosis in a
				  communicable form. Further skin testing may not be necessary except for
				  epidemiologic diagnostic purposes which may be required by the local health
				  officer or the Department.
(2) If
				  the individual does not have documentation of a negative tuberculin test by the
				  Mantoux method within the past 24 months and does not have a history of having
				  had a positive tuberculin test by the Mantoux method, the following procedure
				  shall be done:
(a) Five Tuberculin Units (TU)
				  of Purified Protein Derivative (PPD) shall be administered intradermally and
				  the results read 48-72 hours subsequent to the administration of the
				  test;
(b) An individual with
				  induration of 5-9 mm and no history of contact with a person with tuberculosis
				  in a communicable form or an individual with induration of 0-4 mm shall be
				  considered to be a negative tuberculin reactor and to be free from tuberculosis
				  in a communicable form;
(c) An
				  individual with induration of 5-9 mm and a history of contact with a person
				  with tuberculosis in a communicable form or an individual with induration of 10
				  mm or more shall be considered to be a positive tuberculin reactor and shall be
				  handled as described in §A(3)(a),(b), and (c), of this
				  regulation.
(3) If the
				  individual is a positive tuberculin reactor as defined in §A(2)(c), of
				  this regulation, or if the individual has a history of a positive tuberculin
				  test by the Mantoux method without documentation of having received an adequate
				  course of therapy, as defined by the local health officer, for tuberculosis
				  disease or received adequate prophylaxis, as defined by the local health
				  officer, for tuberculosis infection, the following procedure shall be done:
(a) If the individual does not have
				  documentation of a negative chest X-ray within the past 12 months, the
				  individual shall be evaluated by a chest X-ray. If the chest X-ray is negative,
				  the individual shall be considered to be free from tuberculosis in a
				  communicable form and shall have a repeat chest X-ray in 12 months, unless
				  isoniazid therapy is instituted, in which case the second chest X-ray is
				  unnecessary.
(b) If the individual
				  has documentation of a negative chest X-ray within the past 12 months, the
				  individual shall be considered to be free from tuberculosis in a communicable
				  form and shall have a repeat chest X-ray 12 months after the most recent
				  documented chest X-ray unless isoniazid therapy has been instituted, in which
				  case the second chest X-ray is unnecessary.
(c) If the individual has had two successive
				  negative chest X-rays 12 months apart, no further chest X-rays are necessary
				  and the individual shall be considered to be free from tuberculosis in a
				  communicable form unless the individual has symptoms consistent with
				  tuberculosis.
(4) If the
				  individual has documentation of an adequate course of therapy, approved by the
				  local health officer, for tuberculosis disease or adequate prophylaxis,
				  approved by the local health officer, for tuberculosis infection, no further
				  chest X-rays are necessary and the individual shall be considered to be free
				  from tuberculosis in a communicable form unless the individual has symptoms
				  consistent with tuberculosis.