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Tb questionnaire form pdf 2025

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The document is a questionnaire from UAB Student Health Services designed to assess students for potential tuberculosis (TB) risk factors. It includes questions about symptoms related to TB, previous HIV status, and immune-suppressing medications. Students must certify the accuracy of their responses, and those who answer 'yes' to any questions may require further evaluation and testing.

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What to expect on a TB test?

The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm. If you have ever been exposed to the TB bacteria (Mycobacterium tuberculosis), your skin will react to the antigens by developing a firm red bump at the site within 2 or 3 days.

What questions do they ask for TB screening?

Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?

Can an RN do a TB risk assessment?

If you are located at a school site, the California School Employee TB Risk Assessment Questionnaire can be completed in-person with the school site Registered Nurse.

What questions to ask about TB?

Frequently Asked Questions (FAQs) What is tuberculosis? What is the difference between TB infection and TB disease? Who can get TB? What are the symptoms of TB? Who should be tested for TB? How can TB be tested for? What is the treatment for TB? What if I have HIV?

How to do a TB assessment?

A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can recognize tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.

tb questionnaire form pdf

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What is needed for a TB test?

Blood tests A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can recognize tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.

What is the gold standard for TB screening?

All specimens should be cultured, regardless of whether the smear is positive or negative. Culture is the gold standard for laboratory confirmation of TB disease. A positive culture for M. tuberculosis confirms the diagnosis of TB disease.