Can you please explain what TB Tspot blood test is and it's significance.
Thank you
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of Anna Bacon
Sent: 03 October 2007 17:56
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Anti - HBs levels in EEP workers & new DoH
guidelines
Hi Michael
We only recheck HBsAg for non-responders (<10) who do EPP's. I understand
that some European countries and USA feel that >10 is an adequate response
and there is also now a belief that anyone with a titre of >10 will develop
'memory' cells that will activate antiHBs, if exposed to HBV. I think there
is also a lot of discussion now as to whether booster vaccines on good
responders are actually necessary; we do still give one 5 yr booster.
We had started doing IVS for HBsAg & HCabs in 2003, for new EPP workers,
when the draft guidelines came in. When they became official this year we
introduced HIV testing as well. We also now do a lot more testing of measles
& mumps IgG. Rather than CXR & mantoux testing we now do TB Tspot blood
tests for any new starter who has been in a high risk area in the last 5
years for more than one month.
Following on from Bob Dunn's emails about screening their med.students I
would like to let him know that his screening of the students was enormously
helpful and much appreciated when the new doctors started in August, as we
get a large intake of Oxford doctors. I believe Oxford started screening
their students as some consultants at other Trusts felt that it
significantly limits their training experience if they can't do EPPs on
placements . I agree with Jean that it would make sense for the NHS to pick
up the cost of these tests, rather than the student or university.
Regards
Anna
----- Original Message -----
From: "Michael Cockayne" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 03, 2007 3:40 PM
Subject: Re: [OCC-HEALTH] Anti - HBs levels in EEP workers
Hi Glen,
Thanks for your reply.I'm aware of the DOH guidence regarding EPP workers,
I was enquiring about the diffence in practice in the area of acceptable
Anti-HBs levels. It's the workers who have >10 but <100 iu/l that appear
to be managed differently, and it's interesting that you state that they
are 'immune without confidence' and I think that is the problem! I know
that some OH departments request annual serology on EPP workers with Anti
HBs <100, some department with <50, and still others only with the
true 'non responders' who have <10 iu/l. I would be interested in hearing
from other OH nurses on what their departments consider to be appropriate
Anti HBs protection for their EPP workers not to have annual serology.
Thanks
Michael
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