Updated Tuberculosis Screening, Testing, and Treatment recommendations for Health Care
personnel. On May 17th, 2019 the Centers for Disease Control and
Prevention and the National Tuberculosis Controllers
Association updated recommendations for tuberculosis
(or TB) screening, testing, and treatment for health care
personnel in the United States. These recommendations should be used for people who work or
volunteer in health care settings, including
inpatient and outpatient settings,
laboratories, emergency medical services, medical settings in
correctional facilities, home-based health care and
outreach settings, long term care facilities and
clinics in homeless shelters. CDC and the National TB
Controllers Association recommend new hires receive a
baseline individual TB risk assessment, symptom screening
and a TB test. In the United States there is no recommended annual
testing for TB unless there is a known exposure or
ongoing transmission at a health care facitily. Health care personnel with a positive TB test result
should receive a symptom evaluation and chest
x-ray to rule out TB disease. Treatment for latent TB infection is strongly
encouraged. Shorter treatment regimens should be
used, as they are more convenient and more likely to
be completed. Health care personnel with untreated latent TB
infection should be screened annually for
symptoms of TB disease. Symptoms for TB disease
include any of the following: a cough lasting longer than
three weeks, unexplained weight loss, night
sweats or a fever, and loss of appetite. All health care personnel
should receive TB education annually. TB education should
include information on TB risk factors, the signs and
symptoms of TB disease and TB infection control
policies and procedures. State and local TB screening
and testing regulations may State and local TB screening
and testing regulations may
differ based on local needs. differ based on local needs. The CDC and the
National TB Controllers Association TB screening and
testing recommendations do not override or replace
state regulations. Contact your state TB control
program for more information. CDC has resources to assist
facilities with TB screening for health care personnel.
Visit www.cdc.gov/tb to learn more.