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Persons who have been Recently Infected with TB Bacteria 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.
** Evaluate for active TB disease with a chest x-ray, symptom screen, and if indicated, sputum AFB smears, cultures and nucleic acid amplification testing. A negative TST or IGRA does not rule out active TB disease.
Adult Tuberculosis (TB) Risk Assessment Use this tool to identify asymptomatic adults (persons 18 years and older) who require testing for latent TB infection (LTBI). Routine testing of persons without risk factors is not recommended.
The risk assessment should be administered face-to-face. However, given the COVID-19 emergency response, the TB risk assessment may also be administered via telehealth.
A repeat TB test (e.g., TB blood test or a TB skin test) is not required. Annual TB testing of health care personnel is not recommended unless there is a known exposure or ongoing transmission at a healthcare facility. Health care personnel with untreated latent TB infection should receive an annual TB symptom screen.
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Maintain airborne precautions for necessary visits by patients with suspect or infectious TB until infectiousness is ruled out or resolves. Reduce exposure by eliminating or delaying nonurgent appointments for patients with suspect or infectious TB until infectiousness is ruled out or resolves.
There is very little risk to having a TB skin test or blood test. For a TB skin test, you may feel a pinch when the fluid is placed under your skin. For a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.
The skin test reaction should be read between 48 and 72 hours after administration by a health care worker trained to read TST results. A patient who does not return within 72 hours will need to be rescheduled for another skin test. The reaction should be measured in millimeters of the induration (firm swelling).

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