Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel
Recommendations
Baseline (preplacement) screening and testing
TB screening of all HCP, including a symptom evaluation and test (IGRA or TST) for those without documented prior TB disease or LTBI; individual TB risk assessment.
6731
Postexposure screening and testing
Symptom evaluation for all HCP when an exposure is recognized. For HCP with a baseline negative TB test and no prior TB disease or LTBI, perform a test (IGRA or TST) when the exposure is identified. If that test is negative, do another test 8–10 weeks after the last exposure.
6731
Serial screening and testing for HCP without LTBI
Not routinely recommended; can consider for selected HCP groups; recommend annual TB education for all HCP, including information about TB exposure risks for all HCP.
6731
Evaluation and treatment of positive test results
Treatment is encouraged for all HCP with untreated LTBI, unless medically contraindicated.
6731
IGRA = interferon-gamma release assay; LTBI = latent tuberculosis infection; TST = tuberculin skin test.
Recommendation Grading
Overview
Title
Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel
Authoring Organization
College of American Pathologists
Publication Month/Year
May 17, 2019
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Emergency care, Hospital, Outpatient
Intended Users
Epidemiology infection prevention, nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Prevention, Treatment
Diseases/Conditions (MeSH)
D014376 - Tuberculosis
Keywords
tuberculosis, preventative care, Tuberculosis
Source Citation
Sosa LE, Njie GJ, Lobato MN, et al. Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019. MMWR Morb Mortal Wkly Rep 2019;68:439–443. DOI: http://dx.doi.org/10.15585/mmwr.mm6819a3external icon
Methodology
Number of Source Documents
505
Literature Search Start Date
January 1, 2006
Literature Search End Date
November 1, 2017