LTBI Program Implementation in a Substance Abuse Treatment Facility

Abstract

This report discusses a client-centered approach to treating latent tuberculosis infection (LTBI) in substance abusers at an outpatient treatment facility. The report describes needs assessment at a specific clinic, including the client profile, initial medical screening, existing TB follow-up procedures, problems with the existing follow-up procedures, and the strategy for implementation. The implementation plan, its objectives, revised procedures and advantages of the revised procedures are presented. The report includes the results of this new treatment approach and follow-up procedures. Under this new treatment plan, clients who are positive for active TB are referred to the health department while those with LTBI receive DOT therapy at the same time they receive methadone treatment. The nurse can then monitor the client for adverse reactions.