Appendix B. Tuberculosis (TB) risk assessment worksheet 2025

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Health care personnel with untreated latent TB infection should receive a yearly TB symptom screen to detect early evidence of TB disease and to reevaluate the risks and benefits of treatment for latent TB infection.
ICD-10 code Z11. 1 for Encounter for screening for respiratory tuberculosis is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Treatment for latent TB infection is highly recommended. Perform annual screening for symptoms of TB disease. Annually reevaluate the risk and benefits of treatment for latent TB infection. Ensure health care personnel know the symptoms of TB disease that should prompt an immediate evaluation between screening.
Reply: OSHAs current compliance directive (CPL 02-00-106) references the 1994 CDC guidelines which, as you know, recommended TB skin testing to be conducted at least annually for all healthcare settings.
(A) TB tests and other forms of TB assessment shall be provided at least annually, and more frequently if applicable public health guidelines or the local health officer recommends more frequent testing. Employees with a baseline positive TB test shall have an annual symptom screen.
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Please answer the following questions: Have you ever had a positive TB skin test? Have you ever had close contact with anyone who was sick with TB? Have you ever been vaccinated with BCG? * The significance of the travel exposure should be discussed with a health care provider and evaluated.
Common symptoms may include: Fever. Chills. Night sweats. Weight loss. Not wanting to eat. Tiredness. Not feeling well in general. Pain near the site of infection.
CDC discourages a testing approach that is independent of a risk assessment. Frequency of testing depends on a persons risk factors. This could range from one-time only testing among persons at low risk for future TB exposure to annual testing among those at continued risk of exposure.

appendix b tuberculosis risk assessment worksheet