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Presentation transcript:

This is an archived document. BCG Vaccination

Recommendations for BCG Vaccination Not recommended in immunization programs or TB control programs in the U.S. BCG vaccination undertaken after consultation with health department

Recommendations for BCG Vaccination (cont.) Considered for an infant or child with negative skin-test result who Is continually exposed to untreated or ineffectively treated patient Will be continually exposed to multidrug-resistant TB

Recommendations for BCG Vaccination (cont.) HCWs considered on individual basis in settings in which High percentage of MDR TB patients has been found Transmission of drug-resistant TB strains and subsequent infection are likely, and Comprehensive TB infection-control precautions implemented and not successful

BCG Contraindications Contraindicated in persons with impaired immune response from HIV infection Congenital immunodeficiency Leukemia Lymphoma Generalized malignancy Receiving high-dose steroid therapy Receiving alkylating agents Receiving antimetabolites Receiving radiation therapy

Tuberculin Skin Testing BCG Vaccination and Tuberculin Skin Testing Tuberculin skin testing not contraindicated for BCG-vaccinated persons LTBI diagnosis and treatment for LTBI considered for any BCG- vaccinated person whose skin test reaction is $10 mm, if any of these circumstances are present: Was contact of another person with infectious TB Was born or has resided in a high TB prevalence country Is continually exposed to populations where TB prevalence is high