TB Education and Training Resource Guide—INFECTION CONTROL (Printable Version)

General Infection Control
Engineering Controls
Respiratory Protection
Occupational Exposure and Health Care Workers

General Infection Control

Conducting Sputum Induction Safely
This guideline provides TB control staff at high-risk institutions with practice-based guidance on conducting sputum induction safely. It addresses appropriate engineering controls and proper administrative controls (Francis J. Curry National Tuberculosis Center, 1999).
Audience: community leaders, correctional personnel, health educators/communicators, health professionals, nurses, occupational health and infection control workers, physicians
Format: guideline, 51 pp
Language: English
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities, 1994. Morbidity and Mortality Weekly Report. 43(RR-13):1 -132, October 28, 1994
These guidelines update previous recommendations for preventing and controlling TB infection and disease in health care facilities (Centers for Disease Control and Prevention, 1994).
Audience: health professionals, nurses, physicians
Format: guideline, 141 pp
Language:        English
Internet link: www.cdc.gov/nchstp/tb/pubs/mmwrhtml/maj_guide.htm
Available from:    CDC National Center for HIV, STD, and TB Prevention (NCHSTP). Materials can be ordered in a number of ways: 1) By accessing the online order form at www.cdc.gov/nchstp/tb; 2) by calling the CDC voice and fax information system (recording) toll-free at 888-232-3228, then pressing options 2, 5, 1, 2, 2; 3) by faxing a request for material to the NCHSTP Office of Communications at 404-639-8910; or 4) by mailing a request to the CDC NCHSTP Office of Communications at 1600 Clifton Rd, NE, MS E-07, Atlanta, GA 30333. Request item #5856.
and   Massachusetts Medical Society, 860 Winter St, Waltham Woods Corporate Center, Waltham, MA 02451-1411; 800-843-6356; www.massmed.org. Paper copies of single issues cost $5.25.
and   U.S. Government Printing Office (GPO), Washington, D.C. 20402; 866-512-1800; www.gpo.gov. GPO provides a CD-ROM containing MMWRs from 1991 to 1997 for $19. Request item #017-022-01418-1.

How to Handle Occupational Exposure to Tuberculosis
This fact sheet discusses how to deal with an occupational exposure to TB (New York City Department of Health, 2000).
Audience: business and labor organizations, government agencies, health professionals, managers and supervisors
Format: fact sheet, 1 p
Language: English
Available from: New York City Department of Health and Mental Hygiene, Tuberculosis Control Program, 125 Worth St, New York, NY 10013; 212-442-9968; www.nyc.gov/html/doh/html/tb/tb.html

Infection Control
This fact sheet, available online or via fax only, provides an overview of infection control measures and discusses how to determine the infectiousness of a patient (Centers for Disease Control and Prevention, 1999).
Audience: health professionals, nurses, occupational health and infection control workers, physicians
Format: fact sheet, 2 pp
Language: English
Internet link: www.cdc.gov/nchstp/tb/pubs/dtbefax.htm
Available from: Centers for Disease Control and Prevention. To receive this document by fax, call 888-CDC-FAXX (888-232-3299). At the prompt, request item #250130.

Infection Control: Q and A
This videotape provides guidelines for preventing occupational transmission of infectious diseases and reviews some of the most common ways that health professionals contract infectious diseases in health care settings (Quality Line Enterprises, 1998).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: videotape, 18 min
Language: English
Available from: Quality Line Enterprises, 309 Santa Monica Blvd, Rm 202, Santa Monica, CA 90401; 213-451-5994

Infection Control: Tuberculosis Surveillance of Health Care Workers—Tuberculin Skin Testing
This fact sheet discusses the TB skin test, explains the need to screen health care workers regularly for TB, and lists those individuals most likely to be exposed to TB (New York City Department of Health, 2001).
Audience: health professionals, physicians
Format: fact sheet, 2 pp
Language: English
Internet link: www.nyc.gov/html/doh/html/tb/tb5b.html
Available from: New York City Department of Health and Mental Hygiene, Tuberculosis Control Program, 125 Worth St, New York, NY 10013; 212-442-9968; www.nyc.gov/html/doh/html/tb/tb.html

Laboratory Risk Assessment: What, Why, and How: Risk Assessment in the Infectious Disease Laboratory
This information packet explains the elements of a risk assessment for an infectious disease laboratory, using the example of a TB laboratory (Association of Public Health Laboratories, 1998).
Audience: health professionals, lab personnel, occupational health and infection control workers
Format: information packet (videotape, 80 min; pamphlet)
Language: English
Available from: Association of Public Health Laboratories, 2025 M St, NW, Ste 550, Washington, DC 20036; 202-822-5227; www.aphl.org

Tuberculosis: Back from the Past
This pamphlet presents information about preventing the occupational transmission of TB (Coastal Training Technologies Corp., 2001).
Audience: business and labor organizations, government agencies, health professionals, managers and supervisors, occupational health and infection control workers
Format: pamphlet, 18 pp
Language:        English
Available from:    Coastal Training Technologies Corp., 500 Studio Dr, Virginia Beach, VA 23452; 800-725-3418; www.coastal.com Tuberculosis Control Program Staff Handbook This book provides information on TB drugs, treating latent TB infection, and TB direct care and field services. It also lists TB-related resources and services in New York City (New York City Department of Health, 2000).
Audience: health professionals, nurses, physicians
Format: book, 60 pp
Language:        English
Available from:    New York City Department of Health and Mental Hygiene, Tuberculosis Control Program, 125 Worth St, New York, NY 10013; 212-442-9968; www.nyc.gov/html/doh/html/tb/tb.html

Engineering Controls

How You Can Assess Engineering Controls
for TB in Your Health Care Facility This information packet explains how to assess TB engineering controls and examines the technical procedures used to prevent nosocomial transmission of TB (Francis J. Curry National Tuberculosis Center, 1999).
Audience: health educators/communicators, health professionals, managers and supervisors, nurses, physicians
Format: information packet (videotape, study guide)
Language: English
Available from: CDC National Center for HIV, STD, and TB Prevention (NCHSTP). Materials can be ordered in a number of ways: 1) By accessing the online order form at www.cdc.gov/nchstp/tb; 2) by calling the CDC voice and fax information system (recording) toll-free at 888-232-3228, then pressing options 2, 5, 1, 2, 2; 3) by faxing a request for material to the NCHSTP Office of Communications at 404-639-8910; or 4) by mailing a request to the CDC NCHSTP Office of Communications at 1600 Clifton Rd, NE, MS E-07, Atlanta, GA 30333. Request item #99-6158.

Isolation Rooms: Design, Assessment, and Upgrade
This guideline provides TB control staff and building engineers in health care facilities with information on engineering control measures in rooms used to isolate or segregate known or suspected infectious TB patients (Francis J. Curry National Tuberculosis Center, 1999).
Audience: health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: guideline, 67 pp
Language: English
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

TB in Homeless Shelters: Reducing the Risk through Ventilation, Filters, and UV
This guideline provides directors and facility managers of homeless shelters and other shelter workers with information on reducing the risk of TB transmission through ventilation, filters, and use of ultraviolet germicidal irradiation (Francis J. Curry National Tuberculosis Center, 1999).
Audience: community leaders, health professionals, managers and supervisors, occupational health and infection control workers, social service providers
Format: guideline, 75 pp
Language: English
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

Respiratory Protection

NIOSH Guide to the Selection and Use of Particulate Respirators Certified under 42 CFR 84
This report sets forth guidelines regarding the use of respirators to help prevent occupational exposure to TB (National Institute for Occupational Safety and Health, 1996).
Audience: business and labor organizations, government agencies, health professionals, managers and supervisors, occupational health and infection control workers
Format: report, 32 pp
Language: English
Available from: National Institute for Occupational Safety and Health, Technical Information Branch, 4676 Columbia Pkwy, C13, Cincinnati, OH 45226; 800-35-NIOSH; www.cdc.gov/niosh

Protect Yourself against Tuberculosis: A Respiratory Protection Guide for Health Care Workers
This guide answers questions about using respirators to prevent TB transmission (National Institute for Occupational Safety and Health, 1995).
Audience: health professionals, nurses
Format: book, 31 pp
Language: English
Internet link: www.cdc.gov/niosh/publistd/html
Available from: National Institute for Occupational Safety and Health, Technical Information Branch, 4676 Columbia Pkwy, C13, Cincinnati, OH 45226; 800-35-NIOSH; www.cdc.gov/niosh. Request publication #96-102.

Respirators: Your TB Defense
This videotape is an educational program about TB prevention through respirator use. It covers the history of TB in the United States, infection control measures, and the selection and use of respirators (National Institute for Occupational Safety and Health, 2000).
Audience: health professionals
Format: DVD; videotape, 17 min
Language: English
Available from: National Institute for Occupational Safety and Health, Technical Information Branch, 4676 Columbia Pkwy, C13, Cincinnati, OH 45226; 800-35-NIOSH; www.cdc.gov/niosh. Place orders via e-mail (RLW3@cdc.gov); phone orders will not be accepted for this product.

Respiratory Protection
This fact sheet, available online or via fax only, discusses considerations for selecting respirators, performance criteria for personal respirators, reuse of respirators, risk assessment and respiratory protection, and respiratory protection for patients and visitors. It also discusses respiratory protection standards and certification (Centers for Disease Control and Prevention, 1999).
Audience: health professionals, occupational health and infection control workers
Format: fact sheet, 4 pp
Language: English
Internet link: www.cdc.gov/nchstp/tb/pubs/dtbefax.htm
Available from: Centers for Disease Control and Prevention.
To receive this document by fax, call 888-CDC-FAXX (888 -232-3299). At the prompt, request item #250135.

TB Respiratory Protection: Administrator’s Review
This videotape and CD-ROM provide guidance to respiratory protection administrators in the development of programs to prevent TB through respirator use (National Institute for Occupational Safety and Health, 2001).
Audience: health professionals
Format: CD-ROM; DVD; videotape, 25 min
Language: English
Available from: National Institute for Occupational Safety and Health, Technical Information Branch, 4676 Columbia Pkwy, C13, Cincinnati, OH 45226; 800-35-NIOSH; www.cdc.gov/niosh. Place orders via e-mail (RLW3@cdc.gov); phone orders will not be accepted for this product.

TB Respiratory Protection Program in Health Care Facilities: Administrator’s Guide
This book presents information about implementing, maintaining, and evaluating respirator protection programs in health care facilities (National Institute for Occupational Safety and Health, 1999).
Audience: business and labor organizations, government agencies, health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: book, 122 pp
Language: English
Available from: National Institute for Occupational Safety and Health, Technical Information Branch, 4676 Columbia Pkwy, C13, Cincinnati, OH 45226; 800-35-NIOSH; www.cdc.gov/niosh

Tuberculosis: Compliance Guide and Trainer’s Kit
This item provides information on TB infection control and respiratory protection programs for minimizing risks to workers (Safety Priority, 2001).
Audience: business and labor organizations, community leaders, government agencies, managers and supervisors
Format: book, 82 pp
Language: English
Available from: Safety Priority, 1224 Mill St, East Berlin, CT 06023-1140; 877-SAFE-806, 860-296-1654; www.safetypriority.com

Occupational Exposure and Health Care Workers

About Tuberculosis Precautions for Health-Care Workers
This pamphlet discusses the means by which TB is spread, differentiates between active and latent TB infection, and explains how TB affects individuals with HIV/AIDS. It also examines special issues related to TB testing, treatment, and symptoms (Channing L. Bete Company, Inc., 1999).
Audience: health educators/communicators, health professionals, Hispanics, managers and supervisors, occupational health and infection control workers, physicians
Format: pamphlet, 15 pp
Language: English, Spanish
Available from: Channing L. Bete Company, Inc., One Community Place, South Deerfield, MA 01373-0200; 800-477-4776; www.channing-bete.com

American College of Occupational and Environmental Medicine Issues TB Guidelines to Protect Health Care Workers
This fact sheet, available online only, provides an overview of guidelines proposed by the American College of Occupational and Environmental Medicine that discuss how to make working conditions safer for health professionals who work with persons with TB (American College of Occupational and Environmental Medicine, 1998).
Audience: health professionals, nurses, physicians
Format: fact sheet, 1 p
Language: English
Internet link: www.acoem.org/position/results.asp?CATA_ID=27

A Guideline for Establishing Effective Practices: Identifying Persons with Infectious TB in the Emergency Department
This guideline helps emergency department personnel establish effective TB control practices for early identification of patients with infectious TB. It describes how to assess and evaluate TB transmission risk in the emergency department, implement isolation and diagnostic procedures, and implement TB triage procedures (Francis J. Curry National Tuberculosis Center, 1999).
Audience: health educators/communicators, health professionals, nurses, occupational health and infection control workers, physicians
Format: guideline, 59 pp (includes case studies, worksheets, and sample posters)
Language: English
Internet link: www.nationaltbcenter.edu/catalogue/workplace_tools.cfm
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

Information on Tuberculosis for Health Care Workers This pamphlet provides information on TB transmission, symptoms, multidrug-resistant TB, at-risk individuals, and latent TB infection versus active TB disease. It examines what health care facilities and personnel can do to prevent the spread of TB in the workplace (New York City Department of Health, 2001).
Audience:       government agencies, health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: pamphlet, 8 pp
Language:        English
Available from:    New York City Department of Health and Mental Hygiene, Tuberculosis Control Program, 125 Worth St, New York, NY 10013; 212-442-9968; www.nyc.gov/html/doh/html/tb/tb.htm

Leaving to Return: A Safe Day in the Life of a Public Health Field Worker
This videotape presents information about TB and preventing occupational transmission (New York State Department of Health, 2001).
Audience: health professionals, nurses, social service providers
Format: videotape, 17 min
Language: English
Available from: New York State Department of Health, Bureau of TB Control, Corning Tower, Rm 840, Empire State Plaza, Albany, NY 12237-0669; 518-474-4845; www.health.state.ny.us/home.html

Policy and Procedures for Tuberculosis Screening of Health Care Workers
This guideline provides health care facility administrators with a template for policies and procedures related to screening health care workers for TB, and designing, implementing, and documenting an effective TB screening program for this population (Francis J. Curry National Tuberculosis Center, 1999).
Audience: health professionals, managers and supervisors, occupational health and infection control workers
Format: guideline, 117 pp
Language: English
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

Resource Manual for Support of Dentists with HBV, HIV, TB, and Other Infectious Diseases
This manual presents guidelines and strategies for dental societies and associations working to establish mechanisms of support for dentists with infectious diseases (American Dental Association, 1995).
Audience: health professionals, interest groups, medical and nursing school students
Format: guideline, 63 pp
Language: English
Internet link: www.ada.org/prof/prac/issues/pubs/hig/hiv-man/toc.html
Available from: American Dental Association, 211 East Chicago Ave, Chicago, IL 60611; 312 -440-2500; www.ada.org

Safety and Compliance Training: Guarding against Tuberculosis
This information packet serves as a curriculum to educate individuals about the prevention and control of TB in health care settings (SAVANT Audiovisuals, Inc., 1994).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: information packet (1 videotape, 1 pamphlet)
Language: English
Available from: SAVANT Audiovisuals, Inc., 801 East Chapman Ave, Ste 101, Fullerton, CA 92631; 714-870-7880

Taking Precautions against Tuberculosis: Health-Care Staff Handbook
This course presents information about preventing TB in health care settings. It discusses what engineering and policy controls may be implemented to prevent TB and discusses how to prevent transmission from patients to health professionals through the use of patient care guidelines, personal protective equipment, sanitation, and hygiene (Channing L. Bete Company, Inc., 2001).
Audience: health educators/communicators, health professionals, managers and supervisors, nurses, physicians
Format: course, 31 pp
Language: English
Available from: Channing L. Bete Company, Inc., One Community Place, South Deerfield, MA 01373-0200; 800-477-4776; www.channing-bete.com

TB: New Strategies for Healthcare Workers
This booklet discusses CDC recommendations designed to prevent TB transmission among health care workers and patients (Medcom, Inc., 2000).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, nurses, occupational health and infection control workers
Format: booklet, 20 pp
Language: English
Available from: Medcom, Inc., 6060 Phyllis Dr, Cypress, CA 90630; 800-877-1443; www.medcominc.com

TB Precautions II
This information packet presents information about TB and its prevention in health care settings (Medfilms, Inc., 2001).
Audience:         health professionals, nurses, physicians
Format: information packet (1 videotape, 10 min; 1 pamphlet)
Language:        English
Available from:    Medfilms, Inc., 6841 North Cassim Place, Tucson, AZ 85704; 520-575-8900; www.medfilms.com

TB Strategies for Healthcare Workers
This CD-ROM discusses CDC recommendations designed to prevent TB transmission among health care workers and patients (Medcom, Inc., 2000).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, nurses, occupational health and infection control workers
Format:       CD-ROM
Language:        English
Available from:    Medcom, Inc., 6060 Phyllis Dr, Cypress, CA 90630; 800-877-1443; www.medcominc.com

Tuberculosis Awareness
This information packet was developed to alert health care workers to the risk of contracting TB and to provide guidelines for protection against the spread of TB (Coastal Training Technologies Corp., 1997).
Audience: general public, health educators/communicators, Hispanics, managers and supervisors, occupational health and infection control workers
Format: information packet (1 videotape, 16 min; 1 pamphlet)
Language: English, Spanish
Available from: Coastal Training Technologies Corp., 500 Studio Dr, Virginia Beach, VA 23452; 800-725-3418; www.coastal.com

Tuberculosis Challenge: An Update
This videotape discusses TB treatment and describes how health care workers can protect themselves from occupational exposure to the bacterium. The videotape also examines reasons for the resurgence of TB and multidrug-resistant TB in the United States (Quality Line Enterprises, 1995).
Audience: health professionals
Format: videotape, 20 min
Language: English
Available from: Quality Line Enterprises, 309 Santa Monica Blvd, Rm 202, Santa Monica, CA 90401; 213-451-5994

Tuberculosis Exposure Control Plan: Template for the Clinic Setting
This guideline provides an exposure control plan template designed to assist clinic management in developing and documenting effective TB controls. The template addresses facility risk assessment, employee categories at risk for TB exposure, administrative and engineering controls, respiratory protection, and program evaluation (Francis J. Curry National Tuberculosis Center, 1999).
Audience: health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: guideline, 76 pp
Language: English
Available from: Francis J. Curry National Tuberculosis Center, 3180 18th St, Ste 101, San Francisco, CA 94110-2028; 415-502-4600; www.nationaltbcenter.edu

Tuberculosis Exposure Control and Prevention Manual
This manual provides guidelines for preventing occupational transmission of TB in health care settings (Coastal Training Technologies Corporation, 1996).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, occupational health and infection control workers
Format: book, 181 pp
Language: English
Available from: Coastal Training Technologies Corp., 500 Studio Dr, Virginia Beach, VA 23452; 800-725-3418; www.coastal.com

Tuberculosis: If You Breathe the Air
This videotape presents information about preventing TB in health care settings (Medcom, Inc., 1995).
Audience: business and labor organizations, health educators/communicators, health professionals, Hispanics, managers and supervisors, nurses, occupational health and infection control workers
Format: videotape, 20 min
Language: Spanish
Available from: Medcom, Inc., 6060 Phyllis Dr, Cypress, CA 90630; 800-877-1443; www.medcominc.com

Tuberculosis: New Strategies for the Healthcare Worker
This course provides information on TB and CDC recommendations designed to prevent TB transmission among health care workers and patients (Health Edco, 2000).
Audience: health educators/communicators, health professionals, nurses, occupational health and infection control workers, physicians
Format: course (1 instructional packet, 1 videotape, 1 teaching guide)
Language:        English
Available from:    Health Edco, Division of WRS Group, Ltd., PO Box 21207, Waco, TX 76702-1207; 800-299 -3366 ext 295; www.healthedco.com
and   Medcom, Inc., 6060 Phyllis Dr, Cypress, CA 90630; 800-877-1443; www.medcominc.com

Tuberculosis: Prevention and Practices for Healthcare Workers
This information packet presents information about TB prevention methods in health care settings (Medcom, Inc., 1996).
Audience: business and labor organizations, health educators/communicators, health professionals, managers and supervisors, nurses, occupational health and infection control workers
Format: information packet (1 videotape, 1 manual)
Language: English
Available from: Medcom, Inc., 6060 Phyllis Dr, Cypress, CA 90630; 800-877-1443; www.medcominc.com

Tuberculosis in the Workplace
This report presents the findings of a short-term study to examine the risk of TB among health care workers. It discusses the possible effects of federal guidelines, responses to resurgent TB, and proposed strategies for eliminating TB in the United States and worldwide (National Academy Press, 2001).
Audience: health educators/communicators, health professionals, nurses, occupational health and infection control workers, physicians
Format: report, 354 pp
Language: English
Internet link: www.nap.edu/books/0309073308/html
Available from: National Academy Press, 2101 Constitution Ave, NW, Lockbox 285, Washington, DC 20055; 888-624-8373, 202-334-3313; www.nap.edu