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Get the free Latent Tb Infection (ltbi) Referral Form

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Este formulario es para referencias no urgentes relacionadas con la infección latente por TB. Se requiere que lo completen el personal médico o la agencia que remite.
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How to fill out latent tb infection ltbi

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How to fill out latent tb infection ltbi

01
Gather necessary materials: Obtain the LTBI testing form and any required identification documents.
02
Visit a healthcare provider: Schedule an appointment with a healthcare professional or community health clinic.
03
Provide medical history: Share your medical history, including any past exposure to TB, symptoms, and risk factors.
04
Undergo a skin test or blood test: Choose between a Tuberculin Skin Test (TST) or an Interferon Gamma Release Assay (IGRA).
05
Follow instructions: If using TST, return to the healthcare provider within 48-72 hours for reading the results.
06
Receive results: Discuss the results with your healthcare provider to determine if you have LTBI.
07
If positive, discuss treatment options: If diagnosed with LTBI, talk about the potential treatment plans and follow-up care.

Who needs latent tb infection ltbi?

01
Individuals who have had close contact with someone with infectious TB.
02
People with a weakened immune system, such as those with HIV or on immunosuppressive therapy.
03
Individuals who have lived or traveled in areas with high rates of TB.
04
Healthcare workers who are at higher risk of exposure to TB.
05
People with certain medical conditions that increase the risk of developing TB.
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Latent TB infection (LTBI) is a condition in which a person is infected with the bacteria that cause tuberculosis (TB) but does not have active TB disease. Individuals with LTBI do not exhibit symptoms and cannot transmit the bacteria to others.
Individuals who have been diagnosed with latent TB infection are typically required to file documentation regarding their status, especially if they are at high risk for developing active TB disease or if they are involved in certain healthcare or occupational settings.
To fill out the latent TB infection documentation, individuals generally need to provide personal information, including their name, date of birth, contact information, and details of their TB test results. It may also require information about their medical history and any treatment plans.
The purpose of documenting latent TB infection is to monitor and manage individuals at risk of developing active TB disease, ensure they receive appropriate preventative treatment, and help public health authorities track and control the spread of TB.
Information that must be reported on latent TB infection includes the individual's demographics, the results of TB testing (such as a skin test or blood test), any prior history of TB, and details regarding treatment adherence if applicable.
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