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Annual TB Screening Questionnaire (PDF) - University of Cincinnati - uc

Annual TB Screening Questionnaire (PDF) - University of Cincinnati - uc 2025

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The document is an Annual TB Screening Questionnaire from the University Health Services at the University of Cincinnati. It collects personal information and health history related to tuberculosis, including questions about past TB tests, symptoms, and immunosuppressive conditions. The form also outlines the procedure for administering and reading a PPD skin test, emphasizing the importance of documentation by medical staff.

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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?

What is an annual TB screening?

TB screening is a process that includes: A baseline individual TB risk assessment, TB symptom evaluation. A TB test (e.g., TB blood test or a TB skin test), and. Additional evaluation for TB disease as needed.

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?

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 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.

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Does UCSD require TB test?

The health of the individual can affect the health of the campus community, and UC San Diego is committed to protecting the well-being of all our students. All incoming and re-admitted graduate and undergraduate students are required to meet the UC Immunization and Tuberculosis (TB) Screening Requirements.

What are the 4 TB screening questions?

Please answer the following questions: 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.

Annual TB Screening Questionnaire (PDF) - University of Cincinnati - uc 2025

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