Frequently Asked Questions

On this page, Heartland staff answers questions of tuberculosis, consultation, and HNTC training.

Training

  1. What is the cost of attending a Heartland Training?
    • Our courses are free to attend, but you are responsible for covering any and all travel costs.
  2. Does Heartland offer scholarships for travel?
    • No, unfortunately we do not offer scholarships to attend trainings.
  3. What if I can no longer participate in a course I am currently confirmed to attend?
    • Email or call the lead educator for the course to notify them that you are no longer able to attend.
  4. Does the Introduction to TB Nurse Case Management Online course satisfy the prerequisite to attend the TB Intensive course?
    • No, the Introduction to TB Nurse Case Management Online course is an introduction into the in person Nurse Case Management course. Nurses who are interested in attending the TB Intensive course must first attend the in person Nurse Case Management course to be eligible to attend TB Intensive.

Tuberculosis

  1. What is the standard regimen for TBI treatment?
    • Daily dose of INH for 9 months (270 doses)
  2. What is an alternative and shorter regimen for TBI in adults?
    • Isoniazid-Rifapentine Regimen with Direct Observation Therapy (12 weekly doses)
  3. Why is it recommended to treat TB Infection?
    • To prevent individuals infected with Mtb from developing TB disease.
  4. Who should be tested for TBI?
    • Contacts of patients with active TB disease, persons with HIV, recent immigrants, persons using illicit drugs, residents or employees of high risk congregated settings and patients considering treatment with TNF- α antagonist
  5. What are characteristics of an individual with TB Infection?
    • No signs or symptoms suggestive of TB disease, TST or IGRA result positive, normal Chest X-ray and non-infectious.
  6. What is Targeted Skin Testing?
    • Strategy to ONLY screen individuals at increased risk for developing TB disease
  7. What is DOT?
    • Directly Observe Therapy: A strategy to help patients adhere to treatment; a designated person watches the TB patient swallow each dose of the prescribed drug.
  8. What is a close contact?
    • Any person who has had prolonged, frequent or intense contact with a person with TB while he or she was infectious.
  9. What are Interferon Gamma Release assays (IGRAs)?
    • They are blood tests for detecting M. tuberculosis infection ,sensitized white blood cells will release IFN-gamma in response to contact with TB antigens. Two IGRAs that have been approved by the U.S. Food and Drug Administration (FDA) are commercially available in the U.S:
      • QuantiFERON®-TB Gold In-Tube test (QFT-GIT);
      • T-SPOT®.TB test (T-Spot)

For more information visit the CDC web page http://www.cdc.gov/tb/publications/factsheets/general/tb.htm