Tuberculosis skin test for

Persons with acquired immunodefidency syndrome or those who are positive for the human immunodefidency virus and have a positive tuberculosis skin test or a negative tuberculosis skin test but a history of a prior significant reaction to purified protein derivative (a skin test for tuberculosis)... 

Adult immunizations are important to document as well and include vaccines such as pneumococcusl (for elderly and those at risk for pneumonia), influenza, hepatitis B, and tetanus. Although not an immunization, skin testing for tuberculosis might also be included under this section in high-risk patients (elderly, health care worker, or immunocompromised patient). 

The client diagnosed with AIDS has a positive skin test for tuberculosis. Which medication order would the nurse anticipate ... 

Tuberculosis chemoprophylaxis has been retrospectively evaluated in 63 Spanish patients with latent tuberculosis out of 497 with inflammatory bowel disease who were candidates for anti-TNFa therapy [31 ]. Skin tests for tuberculosis were positive in 86% after a single exposure, but 14% needed a booster. There were no susceptibility factors for hepatotoxicity. All but one was treated with isoniazid alone for 6 or 9 months, and only one required chemoprophylaxis withdrawal because of hepatotoxicity. There were no cases of active tuberculosis in the patients who were treated with anti-TNFa therapy. The authors concluded that chemoprophylaxis is safe in patients with inflammatory bowel disease, even in those taking concomitant, potentially hepatotoxic drugs. 

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