Self-Study Modules on Tuberculosis

Modules

6–9 Introduction

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Division of Tuberculosis Elimination
 Modules

6–9
Self-Study Modules
on Tuberculosis

Introduction

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination

Atlanta, Georgia
2014
Introduction—Self-Study Modules on Tuberculosis, 6–9
Modules

6–9
Self-Study Modules
on Tuberculosis

Self-Study Modules on Tuberculosis

The Self-Study Modules on Tuberculosis is a series of educational modules designed
to provide information about tuberculosis (TB) in a self-study format. The series
consists of nine modules that are separated into two parts. The first part, Modules
1–5, provides basic information on TB. The second part, Modules 6–9, provides more
specific TB programmatic information. It is recommended that you work through
Modules 1–5 before proceeding to Modules 6–9.

Target Audience
The target audiences for this course are outreach workers, nurses, physicians,
administrators, health educators, and students from a variety of settings, including
„ TB programs
„ Other public health agencies, such as HIV/AIDS, STD, and viral hepatitis programs
„ Managed care organizations
„ Correctional facilities
„ Community-based organizations
„ Homeless shelters
„ Migrant clinics
„ Substance abuse facilities
„ Nursing and medical schools
„ Other facilities serving persons with or at risk for TB

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 Introduction—Self-Study Modules on Tuberculosis, 6–9

About Modules 6–9

The Self-Study Modules on Tuberculosis, 6–9 package includes four modules, an
introduction, and a glossary.
„ Introduction (this booklet)
„ Module 6: Managing Patients and Improving Adherence
„ Module 7: Patient Rights and Confidentiality in Tuberculosis Control
„ Module 8: Contact Investigations for Tuberculosis
„ Module 9: Tuberculosis Outbreak Detection and Response
„ Glossary
A few topics have been repeated in several of the modules to enable the modules
to be used either as a complete course or as stand-alone booklets.
Each module contains the following sections:
„ Background: Background information to help you understand the purpose
of the module.
„ Objectives: A guide to the information you should learn from the module.
„ New Terms: A list of terms that are introduced in the module and listed in
the glossary.
„ Reading Material: The reading material for the module, including diagrams,
charts, illustrations, and photographs.
„ Study Questions: Sets of questions, spread throughout the reading material,
designed to help you assess how well you have learned the content of the
module. Be sure to take advantage of these valuable exercises because they
will help you prepare for the final examination. Answers are provided at the
end of the module so that you can check your work.
„ Case Studies: Case studies designed to help you apply the concepts you
have learned in the module. Answers are provided at the end of the module
so that you can check your work.
„ Additional Resources: A list of references for additional information.

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Introduction—Self-Study Modules on Tuberculosis, 6–9

Objectives
After working through Modules 6–9, participants will be able to

Module 6: Managing Tuberculosis Patients and Improving Adherence

1. List the four priority activities of TB prevention and control.
2. Describe the activities associated with TB case management.
3. Describe directly observed therapy (DOT).
4. Discuss TB treatment adherence strategies.
5. Explain considerations for TB case management in special settings.

Module 7: Patient Rights and Confidentiality in Tuberculosis Control

1. Define confidentiality.
2. Explain why trust is important to a successful patient-health care worker
relationship.
3. List four types of patient’s rights.
4. Describe how confidentiality is an essential issue in several of the core
components of a TB control program.

Module 8: Contact Investigations for Tuberculosis

1. Define a TB contact investigation.
2. State the goals of a TB contact investigation.
3. Describe the systematic approach to TB contact investigations.
4. Define a TB source case investigation.

Module 9: Tuberculosis Outbreak Detection and Response

1. List the criteria to meet the definition of a TB outbreak.
2. Describe three methods of TB outbreak detection.
3. Describe the role of genotyping in TB outbreak detection and investigation.
4. List the ten steps of the systematic approach to TB outbreak response.

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 Introduction—Self-Study Modules on Tuberculosis, 6–9

Companion Products
Modules 1–5
Self-Study Modules on Tuberculosis, 1–5, includes five modules, an introduction,
and a glossary.
„ Introduction
„ Module 1: Transmission and Pathogenesis of Tuberculosis
„ Module 2: Epidemiology of Tuberculosis
„ Module 3: Targeted Testing and the Diagnosis of Latent Tuberculosis Infection
and Tuberculosis Disease
„ Module 4: Treatment of Latent Tuberculosis Infection and Tuberculosis Disease
„ Module 5: Infectiousness and Infection Control
„ Glossary

Modules 1–5 Slide Sets and Facilitator Guide

The Modules 1–5 slide set was developed as an accompaniment to the print-
based Self-Study Modules, 1–5 to aid in the presentation of module content for a
facilitator-led training. The Facilitator Guide provides facilitator guidance and tips
for leading a training using the Self-Study Modules on Tuberculosis, 1–5 Slide Sets.

To View or Order the Modules

To view or download the Self-Study Modules on Tuberculosis, 1–5 and the Self-Study
Modules on Tuberculosis, 6–9, visit www.cdc.gov/tb/education/ssmodules/.
If you would like to request a print copy of the Self-Study Modules on Tuberculosis,
1–5 or 6–9, please use the CDC Division of Tuberculosis Elimination’s online
ordering system: http://wwwn.cdc.gov/pubs/CDCInfoOnDemand.aspx.

Continuing Education
To learn more about continuing education (CE) credit, please visit the CDC CE
website: https://www.cdc.gov/GetCE. Search for CE opportunities, complete course
evaluations and post-tests, receive your CE certificates, and manage your CE transcript.

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Introduction—Self-Study Modules on Tuberculosis, 6–9

Other TB Education and Training Materials

„ CDC TB Education and Training Materials—www.cdc.gov/tb
Please visit the CDC Division of Tuberculosis Elimination’s website for
information on other available CDC-produced TB education and training
materials.
„ The Find TB Resources Website—https://findtbresources.cdc.gov/
This site includes a searchable database of materials from numerous national
and international organizations. This website is intended for use by TB and
other health care professionals, patients, and the general public.
„ TB Centers of Excellence for Training, Education, and Medical
Consultation (TB COEs)
The CDC Division of Tuberculosis Elimination funds four TB Centers of
Excellence for Training, Education, and Medical Consultation (TB COEs). The
TB COEs are regionally assigned to cover all 50 states and the U.S. territories.
The TB COEs support domestic TB control and prevention efforts with a focus
on two major activities:
‡ Increasing human resource development through education and training
activities; and
‡ Increasing the capacity for appropriate medical evaluation and
management of persons with TB disease and latent TB infection through
medical consultation.

Curry International Tuberculosis Center

300 Frank H. Ogawa Plaza, Suite 520
Oakland, CA 94612-2037
Phone: 510-238-5100
Email: [email protected]
Website: www.currytbcenter.ucsf.edu

Global Tuberculosis Institute at Rutgers,

the State University of New Jersey
225 Warren Street
Second Floor East Wing
Newark, NJ 07103
Phone: 973-972-3270
Email: [email protected]
Website: http://globaltb.njms.rutgers.edu/

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 Introduction—Self-Study Modules on Tuberculosis, 6–9

Heartland National Tuberculosis Center

2303 SE Military Drive
San Antonio, TX 78223-3542
Phone: 800-TEX-LUNG (800-839-5864)
Fax: (210) 531-4590
Website: www.heartlandntbc.org

Southeastern National Tuberculosis Center

2055 Mowry Road
Gainesville, FL 32611
Mailing Address:
PO Box 103600
Gainesville, FL 32610-3600
Phone: 352-265-7682
Fax: 352-273-7683
Website: http://sntc.medicine.ufl.edu/
„ COEs TB Training and Education Products Webpage
https://sntc.medicine.ufl.edu/rtmccproducts.aspx
This webpage includes all educational materials developed by the CDC-
funded TB COEs. Resources include print, video, and webinars.

Additional Questions
For additional information on TB, visit the CDC Division of Tuberculosis
Elimination’s website at www.cdc.gov/tb. If you have additional questions, you
may also contact CDC-INFO at http://wwwn.cdc.gov/dcs/RequestForm.aspx.
If you have questions on state-specific TB guidelines, please contact your state TB
control office. A list of state TB control offices can be found on the CDC Division
of Tuberculosis Elimination’s website at www.cdc.gov/tb/links/tboffices.htm.

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Introduction—Self-Study Modules on Tuberculosis, 6–9

Acknowledgements
The CDC Division of Tuberculosis of Elimination (DTBE) would like to acknowledge
the following subject matter experts for their valuable assistance in the development
of Modules 6-9:

CDC Division of Tuberculosis Elimination

Ann Buff, MD, MPH Allison Maiuri, MPH
Terry Chorba, MD, DSc, MPH, FACP Lilia Manangan, RN, MPH
Smita Ghosh, MS Joan Mangan, PhD, MST
Judy Gibson, MS, BS Mark Miner, BSEd
Regina Gore, BA Roque Miramontes, MPH
Juliana Grant, MD, MPH Tom Navin, MD
Maryam Haddad, MSN, MPH, FNP Maureen O’Rourke-Futey, MS
Peri Hopkins, MPH Krista Powell, MD, MPH
John Jereb, MD Sarah Segerlind, MPH
Amera Khan, MPH Cheryl Tryon, MS
Lauren Lambert, MPH Dawn Tuckey, MPH
Adam Langer, DVM, MPH Wanda Walton, PhD, MEd
Phil LoBue, MD, FACP, FCCP

CDC Division of Creative Services

Curt Wommack, BFA

Others contributing to the production of this publication

Heidi Behm, RN, MPH Douglas Proops, MD, MPH
Oregon Health Authority New York City Department of Health
and Mental Hygiene
Erick Cortes, MPH
New Jersey Department of Health Jessica Quintero, BAAS
and Senior Services Heartland National TB Center
Wendy Cronin, PhD, MT (ASCP) Gayle M. Schack, RN, PHN, MS
Maryland Department of Health Curry International TB Center
and Mental Hygiene
Tambi Shaw, MPH
Beth Kingdon, MPH California Department of Public Health
Minnesota Department of Health
Lynn Sosa, MD
Linette McElroy, RN Connecticut Department of Public Health
Victoria, British Columbia, Canada
Julie Tomaro, RN, BSN
Marcee W. Mortensen, MPH, CHES Washington State Department of
Utah Department of Health Health/TB Services
In addition, CDC DTBE would like to thank all those who participated in field
testing these modules.

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 Introduction—Self-Study Modules on Tuberculosis, 6–9

Notes

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Introduction—Self-Study Modules on Tuberculosis, 6–9

Notes

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 Introduction—Self-Study Modules on Tuberculosis, 6–9

Notes

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CS329840-A Publication Number 99-6206