Panel Physicians
Screening Flowchart: Figure 1
Tuberculosis Screening for Applicants in Low Tuberculosis Burden Countries
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Text Description/Overview of Flowchart
Title: “Tuberculosis Screening for Applicants in Low Tuberculosis Burden Countries*”
- If “Tuberculosis screening for applicants <15 years of age in low-burden countries”, then
- If “For all applicants <15 years of age”, then
- “Medical history”
- “Physical examination”
- If “For those with signs or symptoms of tuberculosis or known HIV infection”, then
- “IGRA (or TST for applicants <2 years of age)”
- “Chest x-ray”
- “Three sputum specimens for smears and culture plus molecular testing of the first specimen“
- If “For those with positive cultures”, then
- “Drug susceptibility testing”
- If “For all applicants <15 years of age”, then
- If “Tuberculosis screening for applicants ≥15 years of age in low-burden countries, then
- If “For all applicants ≥15 years of age”, then
- “Medical history”
- “Physical examination”
- “Chest x-ray”
- If “For those with chest x-ray suggestive of tuberculosis, or signs or symptoms of tuberculosis, or known HIV infection”, then
- “Three sputum specimens for smears and culture plus molecular testing of the first specimen“
- If “For those with positive cultures”, then
- “Drug susceptibility testing”
- If “For all applicants ≥15 years of age”, then
*Countries with a World Health Organization-estimated tuberculosis disease incidence- rate <20 cases per 100,000 population.
IGRA = Interferon-gamma release assay
TST = Tuberculin skin test