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Health-care workers who care for patients at increased risk for TB disease. Infants, children and adolescents exposed to adults who are at increased risk for latent tuberculosis infection or TB disease.
Asking you questions about your symptoms. TB tests. Your health care provider will order tests if: Skin test. A tiny amount of a substance called tuberculin is injected just below the skin on the inside of one forearm. Blood tests. A sample of blood is sent to a lab. X-ray. Sputum tests. Other lab tests.
DATE OF BIRTH Yes No Have you ever been vaccinated with BCG? Yes No Have you ever had a positive TB skin test or history of active tuberculosis infection? Yes No Has anyone living in your household ever had a history of active tuberculosis?
A chest radiograph and clinical evaluation for the potential of active tuberculosis should be obtained. [13] If no evidence of active disease is noted by history, physical examination, or radiography, the patient should be deemed to have LTBI and given tuberculosis-preventative treatment.
At ART centers, all PLHIV are screened for TB at every visit, using the 4-symptom (4S) complex which includes cough of any duration, fever, weight loss, and night sweats among adults. In children, the 4S complex includes current cough, fever, poor weight gain, and history of contact with a TB case.
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Health care personnel with untreated latent TB infection should receive an annual TB symptom screen. Symptoms for TB disease include any of the following: a cough lasting longer than three weeks, unexplained weight loss, night sweats or a fever, and loss of appetite.
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.
Frequency of Screening Annual testing: Individuals living or working in congregate settings (mandated) Periodic testing: Individuals with possible new exposure to TB (contact to a pulmonary/laryngeal TB cases, prolonged/frequent travel, or new medical risk factor)
Have you ever had a positive TB skin test? Have you ever been vaccinated with BCG? Have you ever had close contact with persons known or suspected to have active TB disease?
The WHO-recommended four-symptom screen (W4SS; comprising any one of current cough, fever, night sweats, or weight loss) was developed after a 2011 individual participant data meta-analysis to rule out active tuberculosis before initiating tuberculosis preventive therapy.

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