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The Updated guidelines on Management of tuberculosis in children and adolescents include new recommendations that cover diagnostic approaches for TB, shorter treatment for children with non-severe drug-susceptible TB, a new option for the treatment of TB meningitis, the use of bedaquiline and delamanid in young
Absent cross ventilation, contact with adult source case and overcrowding are the most docHub predictors of pulmonary TB in children.
Tuberculosis (TB) Testing The County Public Health Officer requires tuberculosis screening, and follow-up if appropriate, before students enter school. All students entering the school district must provide proof of a recent TB risk assessment or testing if indicated.
A Mantoux tuberculin skin test (TST) or an Interferon Gamma Release Assay (IGRA) (for children aged 4 and older) should be used to test those at increased risk. A TST 10mm is considered positive. If a child has had contact with someone with active TB then TST 5mm is considered positive.
A TB screening tool to be administered by licensed healthcare providers. Use this form to identify asymptomatic adults for latent TB infection (LTBI) testing. * Re-test persons who previously tested negative, and have new risk factors since the last assessment.
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PEDIATRIC TB RISK ASSESSMENT INSTRUCTIONS After 2 years of age, risk assessment for tuberculosis should be performed annually. A Mantoux tuberculin skin test (TST) should be performed by a trained healthcare provider and read 48-72 hours later by a trained healthcare provider.
Close contacts of a person with infectious TB disease. Persons who have immigrated from areas of the world with high rates of TB. Children less than 5 years of age who have a positive TB test. Groups with high rates of TB transmission, such as homeless persons, injection drug users, and persons with HIV infection.

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