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Guidelines for the investigation of contacts of persons with infectious tuberculosis; recommendations from the National Tuberculosis Controllers Association and CDC
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  • Description:
    Introduction -- Decisions to Initiate a Contact Investigation -- Investigating the Index Patient and Sites of Transmission -- Assigning Priorities to Contacts -- Diagnostic and Public Health Evaluation of Contacts -- Treatment for Contacts with LTBI -- When to Expand a Contact Investigation -- Communicating Through the Media -- Data Management and Evaluation of Contact Investigations . -- Confidentiality and Consent in Contact Investigations -- Staffing and Training for Contact Investigations -- Contact Investigations in Special Circumstances -- Source-Case Investigations -- Other Topics -- References -- Appendix A: Glossary -- Appendix B: Recommendations for the Investigation of Contacts of Persons with Infectious Tuberculosis (TB)

    "In 1976, the American Thoracic Society (ATS) published brief guidelines for the investigation, diagnostic evaluation, and medical treatment of TB contacts. Although investigation of contacts and treatment of infected contacts is an important component of the U.S. strategy for TB elimination, second in priority to treatment of persons with TB disease, national guidelines have not been updated since 1976. This statement, the first issued jointly by the National Tuberculosis Controllers Association and CDC, was drafted by a working group consisting of members from both organizations on the basis of a review of relevant epidemiologic and other scientific studies and established practices in conducting contact investigations. This statement provides expanded guidelines concerning investigation of TB exposure and transmission and prevention of future cases of TB through contact investigations. In addition to the topics discussed previously, these expanded guidelines also discuss multiple related topics (e.g., data management, confidentiality and consent, and human resources). These guidelines are intended for use by public health officials but also are relevant to others who contribute to TB control efforts. Although the recommendations pertain to the United States, they might be adaptable for use in other countries that adhere to guidelines issued by the World Health Organization, the International Union against Tuberculosis and Lung Disease, and national TB control programs.." - p. 1

    Published with: Guidelines for using the QuantiFERON®-TB gold test for detecting Mycobacterium tuberculosis Infection, United States

    Includes bibliographical references (p. 33-37).

  • Content Notes:
    December 16, 2005. ; "The material in this report originated in the National Center for HIV, STD, and TB Prevention, Kevin Fenton, MD, PhD, Director, and the Division of Tuberculosis Elimination, Kenneth G. Castro, MD, Director." ;
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