Understanding and Managing

Latent TB Infection



Arnold, Missouri

October 5, 2010


Being held at

Jefferson County

Health Department

1818 Lonedell Road

Arnold, Missouri 63010


Sponsored by

 Heartland National TB Center 


With the support of

Jefferson County
Health Department


State of Missouri Department of Health and Senior Services




Heartland National TB Center is an approved provider of continuing nursing education by the
Texas Nurses Association, an accredited approver by the American Nurses Credentialing Centerís Commission on Accreditation.


Heartland National TB Center provides 6.0 nursing continuing education contact hours for successful completion of this educational activity.


To obtain contact hours, nurses must complete and return the Attendance Verification Form and the participant evaluation form.




Tuesday, October 5, 2010


8:00 am Registration & Sign in

8:30 am Welcome & Introductions

8:45 am What is Latent TB Infection (LTBI)?

10:00 am Break

10:10 am Treating LTBI

11:10 am LTBI in Special Populations

11:40 am Lunch

1:00 pm Strategies for Adherence

2:00 pm Break

2:05 pm Testing for TB Infection Using the Tuberculin Skin Test (TST)

3:05 pm Break

3:15 pm TST Practicum

4:15 pm Questions & Answers;


NO commercial support was given to Heartland National TB Center or the University of Texas Health Science Center at Tyler for this educational program.


Target Audience

This course will target local health department nurses and DOT workers who are tasked with the responsibility to identify and manage patients with, or at risk of, latent tuberculosis infection (LTBI).

Conference Goal

The goal of this training is to increase the knowledge and skills of the public health nurse and DOT worker in order to effectively identify, manage, and treat their patient with latent TB infection.

Conference Objectives

Using interactive lectures participants will be able to: recognize the difference between TB disease and latent TB infection; describe the methods used to diagnose and identify LTBI; identify the treatment options for LTBI; discuss the treatment issues unique to LTBI therapy; list special LTBI populations and how to manage them; recognize how to handle multi-drug resistant TB case contacts with LTBI; define treatment adherence and common strategies to improve patient compliance; share adherence ideas that have proven successful; describe the tuberculin skin test (TST); and assess the proper technique for administering and read the TST.


The format for this course will be lecture-style presentations with case scenarios and group discussions. There will be ample time for questions and answer




Traci Hadley, RN, BSN

Missouri Department of Health and Senior Services


Debra Howenstine, MD

Columbia/Boone County Department of Public Health & Human Services


Mary Long, MSPH

Heartland National TB Center


John Nava, MD

San Antonio Metro Health Department


Debbie Onofre, RN, MSN

Heartland National TB Center


Jessica Quintero, BAAS

Heartland National TB Center



There is no charge to attend this workshop but pre-registration is mandatory.


Deadline to register is:

September 15, 2010


Space is limited to 30 participants.


Register at:




The vision of Heartland National TB Center is to provide excellence, expertise, and innovation in training, medical consultation, and product development to reduce the impact of tuberculosis in our region.



The mission of the Heartland National TB Center is to build capacity with our partners. We will share expertise in the treatment and prevention of tuberculosis by: developing and implementing cutting-edge trainings, delivering expert medical consultation, providing technical assistance, and designing innovative educational and consultative products.


For more information, please contact:

Mary Long