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Get the free Report of POSITIVE SMEAR (AFB) AND/OR POSITIVE CULTURE OF M. TUBERCULOSIS - epi publ...

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This document is used by non-health department laboratories in North Carolina to report positive smears and cultures for Mycobacterium tuberculosis as required by state law.
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How to fill out Report of POSITIVE SMEAR (AFB) AND/OR POSITIVE CULTURE OF M. TUBERCULOSIS

01
Obtain the necessary report form for Positive Smear (AFB) and/or Positive Culture of M. tuberculosis.
02
Ensure that the patient's information is filled out completely and correctly, including name, age, and medical history.
03
In the section for test results, clearly indicate if the smear and/or culture is positive.
04
Provide detailed information about the sample collection method and the date of collection.
05
Include any relevant clinical information and symptoms that support the diagnosis of tuberculosis.
06
Sign and date the report to authenticate the findings.
07
Submit the report to the appropriate health department or medical institution, as required by local regulations.

Who needs Report of POSITIVE SMEAR (AFB) AND/OR POSITIVE CULTURE OF M. TUBERCULOSIS?

01
Healthcare providers diagnosing or treating tuberculosis patients.
02
Public health officials monitoring the prevalence of tuberculosis.
03
Laboratories conducting analysis of smear and culture tests for tuberculosis.
04
Patients who require documentation for treatment and care plans.
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For the smear, lab staff will look at some of your sputum under a microscope. If they see bacteria in your sputum, the smear test result is positive. For the culture, lab staff put some of your sputum into a special container to grow. If bacteria grow, your culture result is positive.
In some people, the BCG TB vaccine may cause a positive TB skin test even if they are not infected with TB germs. Unlike the TB skin test, TB blood tests are not affected by prior BCG vaccination. Therefore, TB blood tests are the preferred test for people who have received the BCG TB vaccine.
If your AFB smear was positive, it means you probably have TB or other infection, but an AFB culture is needed confirm the diagnosis. Culture results can take several weeks, so your provider may decide to treat your infection in the meantime.
A sputum culture is a test to find germs (such as TB bacteria) that can cause an infection. A sample of sputum is added to a substance that promotes the growth of bacteria. If no bacteria grow, the culture is negative. If bacteria grow, the culture is positive. If TB bacteria grow, then the person has tuberculosis.
A positive culture means that M. tuberculosis bacteria were identified in the specimen. In the absence of a positive culture, TB disease may also be diagnosed on the basis of clinical signs and symptoms alone.
If AFB are found on a sputum smear, it often indicates TB disease (smear positive). However, a positive smear does not confirm a diagnosis of TB because some stained mycobacteria are not M. tuberculosis (nontuberculous mycobacteria [NTM]). Additionally, smear negative results do not exclude TB disease.
No Acid-fast bacilli (AFB) seen - Report as "0". It means no AFB was observed in 2 lengths (i.e., 300 visual fields), thus, conferring a "negative" result. 1-9 AFB in 1 length - Record the actual number of AFB seen (e.g. +1, +2, +9). Note that the plus sign should precede the number.
A “positive” TB blood test result means you probably have TB germs in your body. Most people with a positive TB blood test have latent TB infection. To be sure, your doctor will examine you and do a chest x-ray. You may need other tests to see if you have latent TB infection or active TB disease.

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It is a formal document that records and communicates cases of individuals who have tested positive for acid-fast bacilli (AFB) in sputum smear tests or have positive cultures for Mycobacterium tuberculosis, indicating a diagnosis of tuberculosis.
Healthcare providers, including physicians and laboratories that perform the tests, are typically required to file this report to health authorities to ensure proper tracking and management of tuberculosis cases.
The report should include patient information such as name, age, sex, and address, as well as details about the test performed, including the type of test (smear or culture), date of the test, and the results. Additional clinical information and any relevant epidemiological details should also be included.
The purpose is to notify public health authorities of tuberculosis cases, enabling them to take necessary actions for disease control, contact tracing, and managing public health risks associated with tuberculosis.
The report must include patient demographics, test results (positive AFB smear or culture), testing date, clinical information, and any relevant exposure history to facilitate proper disease management.
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