Rule 44:04:04:08.01 Tuberculin screening requirements.
44:04:04:08.01. Tuberculin screening requirements. Each
facility shall develop criteria to screen healthcare workers, patients, or
residents for Mycobacterium
tuberculosis based on the guidelines issued by Centers for Disease Control and
Prevention. Policies and procedures for conducting Mycobacterium tuberculosis risk assessment shall be established and
should include the key components of responsibility, surveillance, containment,
and education. The frequency of repeat screening shall depend upon annual risk
assessments conducted by the facility.
Tuberculin screening requirements for
healthcare workers or residents are as follows:
(1) Each new healthcare
worker or resident shall receive the two-step method of Mantoux skin test to
establish a baseline within 14 days of employment or admission to a facility.
Any two documented Mantoux skin tests completed within a 12 month period prior
to the date of admission or employment shall be considered a two-step. Skin
testing is not necessary if documentation is provided of a previous positive
reaction of ten mm induration or greater. Any new healthcare worker or resident
who has a newly recognized positive reaction to the skin test shall have a
medical evaluation and a chest X-ray to determine the presence or absence of
the active disease;
(2) A new healthcare worker
or resident who provides documentation of a positive reaction to the Mantoux
skin test shall have a medical evaluation and chest X-ray to determine the
presence or absence of the active disease; and
(3) Each healthcare worker
or resident with a history of a positive reaction to the Mantoux skin test
shall be evaluated annually by a physician or a nurse and a record maintained
of the presence or absence of symptoms of Mycobacterium
28 SDR 83, effective December 16, 2001; 29 SDR 81, effective December 11, 2002;
31 SDR 62, effective November 7, 2004; 32 SDR 128, effective January 30, 2006.
Authority: SDCL 34-12-13, 34-22-9.
Implemented: SDCL 34-12-13.
Guidelines for Preventing the
Transmission of Mycobacterium Tuberculosis in Health-Care Facilities, 1994,
reprinted March 1998. "Centers for Disease Control and
Prevention Morbidity and Mortality Weekly Report," October 28, 1994, 43
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