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Tuberculosis in healthcare worker — DOccMed MCQ

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ModerateInfection Control and Biological HazardsTuberculosis in healthcare workerDOccMed

A nurse working on a respiratory ward has persistent cough, weight loss and night sweats. A chest X-ray suggests pulmonary TB; sputum results are pending, and she has worked several shifts with immunosuppressed patients. What is the most appropriate advice regarding fitness for work?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Exclude from work and arrange urgent TB pathway and occupational contact tracing

Suspected pulmonary TB in a healthcare worker requires exclusion from clinical work and urgent assessment. Occupational health and public health input are needed for contact tracing, particularly with vulnerable patients. Masking at work is not an adequate substitute for exclusion while infectious TB is possible. Delayed action risks nosocomial transmission.

Reference: UKHSA TB guidance; NHS infection prevention guidance