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Connecticut Tuberculosis (TB) Risk Assessment See the Connecticut TB Risk Assessment User Guide for more information about using this tool. Use this tool to identify asymptomatic adults and children
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How to fill out screening for latent tuberculosis
How to fill out screening for latent tuberculosis
01
To fill out the screening for latent tuberculosis, follow these steps:
02
Begin by providing your personal information such as name, age, and contact details.
03
Answer the questionnaire regarding your medical history, including any previous tuberculosis infections or exposure to tuberculosis cases.
04
Answer questions related to your current health status, such as any symptoms you may be experiencing.
05
Provide information about any recent travel or contact with individuals who have a suspected or diagnosed tuberculosis infection.
06
If applicable, provide details regarding any previous tuberculosis tests or treatments you have undergone.
07
Review your answers to ensure accuracy, and make any necessary corrections.
08
Sign and date the screening form before submitting it to the appropriate healthcare professional.
09
Follow any additional instructions provided by the healthcare professional for further evaluation or testing if required.
Who needs screening for latent tuberculosis?
01
Screening for latent tuberculosis is recommended for the following individuals:
02
- Individuals who have been in close contact with someone known or suspected to have active tuberculosis.
03
- People with compromised immune systems, such as those living with HIV/AIDS or those receiving immunosuppressive therapy.
04
- Individuals who have recently immigrated from countries with high tuberculosis rates.
05
- Healthcare workers who have regular contact with patients at risk of tuberculosis.
06
- Individuals planning to undergo immunosuppressive therapy.
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