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  • Au Tuberculosis Risk Assessment Questionnaire For Workers In Hospital And Health Service Facilities

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Tuberculosis Risk Assessment Questionnaire for Workers in Hospital and Health Service Facilities Worker Information Surname Given name/s: Address: Number/Street Suburb/Town/City Proposed commencement.

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For persons with TB symptoms,4 abnormal chest x-ray consistent with TB disease, or a positive TST or IGRA: Evaluate for active TB disease by obtaining a chest x-ray, symptom screen, performing a physical exam and if indicated,5 sputum testing (i.e., AFB smears, cultures and nucleic acid amplification).

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.

The risk assessment should be administered at least once. Persons can be screened for new risk factors at subsequent preventive health visits. Because IGRA has increased specificity for TB infection in persons vaccinated with BCG, IGRA is preferred over the TST in these persons.

The purpose of this tool is to identify adults with infectious tuberculosis (TB) to prevent them from spreading disease. •

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?

There are two kinds of tests used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease.

Test for LTBI using a Mantoux tuberculin skin test (TST) or an -Gamma Release Assay blood test (IGRA) (e.g., QuantiFERON®-TB Gold or T-SPOT®), unless an appropriately documented,1,2 negative test dated within the past 90 days or appropriately documented positive test result is available.

The purpose of this tool is to identify adults with infectious tuberculosis (TB) to prevent them from spreading disease. Do not repeat testing unless there are new risk factors since the last negative test.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232