Current through all regulations passed and filed through September 16, 2024
An acceptable tuberculosis program, designated pursuant to
division (A) of section
339.72 of the Revised Code, is a
program that includes at least the components set forth in this rule.
(A) Provides hospitalization for patients
with active or suspected tuberculosis for whom an acceptable ambulatory
treatment plan cannot be devised.
(B) An outpatient program ensuring the
following services:
(1) Maintenance of a
tuberculosis case registry with up-to-date information on all current
clinically active and suspected tuberculosis cases within the area served using
the designated Ohio department of health reporting system. Maintenance of
records on the examination and treatment status of the contacts to infectious
tuberculosis patients and other groups of high-risk infected persons.
(2) Laboratory and diagnostic
services as follows:
(a) Access to radiology
equipment and trained radiology technicians.
(b) Access to mycobacteriology laboratory
services that meet the following criteria:
(i) Results of acid-fast examinations of
specimens are available within twenty-four hours of the date the specimen is
received at the lab.
(ii) Reports
of isolation and identification of M. tuberculosis should be available within
fourteen to twenty-one days of the date the specimen is received at the
laboratory.
(iii) Reports of
drug-susceptibility tests for first-line drugs should be available within
fifteen to thirty-five days of specimen collection of the date the specimen is
received at the laboratory.
(C) A case management system to monitor and
ensure adherence to treatment, which includes an assignment of responsibility,
systematic review of the case, and plans to address barriers to adherence.
(D) Prevention and control
activities that include the following three priority strategies:
(1) Identifying and treating all persons who
have tuberculosis disease. This means finding cases of tuberculosis and
ensuring that patients complete appropriate therapy.
(2) Finding and evaluating persons who have
been in contact with tuberculosis patients to determine whether they have
latent tuberculosis infection or active tuberculosis disease, and treating them
appropriately.
(3) As resources
permit, screening high-risk groups for latent tuberculosis infection to
identify candidates for treatment of latent tuberculosis infection and to
ensure the completion of treatment.
(a)
Targeted tuberculin testing shall be conducted only among groups at high risk
and discouraged in those at low risk.
(b) Infected persons who are considered to be
at high risk for developing active tuberculosis shall be offered treatment for
latent tuberculosis infection, irrespective of age, unless medically
contraindicated.
(E) Policies and procedures as follows:
(1) The tuberculosis control unit shall
outline program priorities and objectives reflecting the specific needs of the
community.
(2) The tuberculosis
control unit shall have written policies and procedures that clearly define the
standard of practice for tuberculosis treatment and prevention in the
community.
(3) The tuberculosis
control unit shall provide consultation and oversight for the tuberculosis
control activities of local health care facilities and practitioners to ensure
that their efforts reflect the current standards of care and public health
practice.
Replaces: 3701-15-02
Five Year Review (FYR) Dates:
1/3/2018 and
01/03/2023
Promulgated
Under: 119.03
Statutory Authority: 3701.146
Rule
Amplifies: 339.71, 339.72, 3701.14
Prior Effective Dates:
01/01/1974, 07/23/1998, 10/24/2003,
01/01/2009
