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TUBERCULOSIS THERAPY AND FOLLOW-UP CARE REPORT - ct

TUBERCULOSIS THERAPY AND FOLLOW-UP CARE REPORT - ct 2026

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The document is a Tuberculosis Therapy and Follow-Up Care Report Form (TB-32) used by the Connecticut Department of Public Health. It collects patient information, treatment details, therapy status, and follow-up care related to tuberculosis. The form includes sections for documenting active TB disease or latent TB infection, treatment history, drug dosages, reasons for stopping therapy, HIV testing, and additional medical comments.

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Click ‘Get Form’ to open the TUBERCULOSIS THERAPY AND FOLLOW-UP CARE REPORT in the editor.
Begin by entering the CASE NUMBER, which is for office use only. This helps in tracking the patient's records efficiently.
Fill in the PATIENT'S NAME, DATE OF BIRTH, and ADDRESS fields accurately to ensure proper identification and communication.
Indicate the treatment status by checking either 'ACTIVE TB DISEASE' or 'LATENT TB INFECTION'. Provide the START DATE of treatment.
Document therapy details including drug names and dosages. Specify if therapy was restarted and provide reasons for any interruptions.
Complete sections regarding patient adherence, including whether they are on Directly Observed Therapy (DOT) or self-administered treatment.
Finally, review all entries for accuracy before saving or exporting your completed report for submission.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you monitor TB treatment?

Monitoring response to treatment is done through regular history taking, physical examination, chest radiograph and laboratory monitoring. The classic symptoms of TB cough, sputum production, fever and weight loss generally improve within the first few weeks.

Does tuberculosis need to be reported?

The most common CT findings of reactivation pulmonary TB are centrilobular small nodules, branching linear and nodular opacities (tree-in-bud sign), patchy or lobular areas of consolidation, and cavitation [24, 36, 37].

What is the follow up of TB treatment?

After completion of TB treatment, all cases should be followed-up at 6 monthly intervals (ie. 6 months, 12 months, 18 months, 24 months after treatment). During each follow-up point, all cases should be screened for TB Disease, using atleast the 4 symptom complex.

Do I have to tell my employer I have TB?

Advise employees that they are required to report immediately to the employer any communicable diseases (including TB) so that the employer can institute appropriate action with public health authorities to control the spread of the disease within the workplace and ensure that an adequate medical response is occurring.

Does TB have to be reported to the CDC?

TB disease is a nationally notifiable disease; however, latent TB infection is not reported to CDC. Some states and localities have developed legal reporting requirements for latent TB infection as a tool to prevent TB disease.

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