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TRUCTIONS: Tuberculosis (TB) screening must be performed by a licensed health care provider whose legally authorized scope of practice allows him/her to conduct medical examinations and/or the Mantoux TB Skin Test (TST) in accordance with the recommendations of the Centers for Disease Control and Prevention to determine if a person has TB infection or disease. EMPLOYEE ( Complete the following section - type or print clearly) EMPLOYEE INFORMATION 1 PRINT OR TYPE EMPLOYEE S FULL NAME (AS IT A.
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INTRADERMAL FAQ
You'll be given a chest x-ray to test for TB . If the result of the x-ray is not clear you may also be asked to give a sputum sample (phlegm coughed up from your lungs). If your test shows that you do not have TB , you'll be given a certificate which is valid for 6 months from the date of your x-ray.
If the result of the x-ray is not clear you may also be asked to give a sputum sample (phlegm coughed up from your lungs). If your test shows that you do not have TB , you'll be given a certificate which is valid for 6 months from the date of your x-ray.
Who may administer the TB risk assessment? Per California Education and Health and Safety Codes, the TB risk assessment is to be administered by a health care provider. The risk assessment should be administered face-to-face.
If you have a negative skin test, you need a repeat test at least once every four years. If you have a documented positive skin test, you must have an initial chest X-ray. After that, you still need to be screened every four years.
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.
The TB skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin on the lower part of the arm. A person given the tuberculin skin test must return within 48 to 72 hours to have a trained health care worker look for a reaction on the arm.
Annual TB testing using an IGRA or TST is not routinely recommended. Health care facilities should perform TB testing and complete a signs and symptoms assessment after known or ongoing exposure to TB or complete a signs and symptoms assessment annually for HCP with untreated TB infection.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)
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