HealthCheck Training
Trouble with this course?
e-mail us at healthcheck@ncemch.org
Post-Test
Overview
Health Supervision
- Introduction
- Health History
- Physical Examination
- Screening Services
- Laboratory Tests
- Immunizations
- Health Education
Special Health Issues
- Introduction
- Dental Health
- Overweight and Obesity
- HIV Guidelines
- Child Abuse & Neglect
- Language Barriers
- Early Intervention
Documentation
Go To Resources »
Health Supervision
Laboratory Tests: Tuberculosis (TB) Screening
Children at high risk for tuberculosis include those born in countries where TB is prevalent, those who are African American or Hispanic, and those who are medically underserved.1,2 Poverty and homelessness are among the factors contributing to the rising numbers of TB cases in recent years. The incidence of tuberculosis in children younger than 2 years is twice that in older children.1
Periodicity and Guidelines for Tuberculosis Screening
HealthCheck
requires testing for TB with the Mantoux skin test (PPD) at key
developmental ages:
Infancy:
- Test at 12 months.
Early Childhood:
- Test
at least once between 3 and 5 years.
- If child at high risk: Test between 15 and 24 months.
Middle Childhood:
- Test annually, beginning at age 8.
Adolescence:
- Test annually.
Screening Guidelines
- Test for TB using the Mantoux method, an intradermal injection of positive protein derivative (PPD).
- Provide prompt treatment and additional evaluations annually for all children or teens with positive test results.
- Maintain complete documentation of all TB test results and follow-up evaluations in the medical record.
Risk Assessment
Risk Indicators for TB
|
Resources
Risk indicators drawn from the Centers for Disease Control and Prevention and from the American Academy of Pediatrics.
References
1. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. 1988. Put Prevention into Practice. Clinician's Handbook of Preventive Services (2nd ed.). Washington, DC: Government Printing Office.
2. Centers for Disease Control and Prevention, Division of Tuberculosis Elimination. TB Facts for Health Care Workers: Populations at Risk for Tuberculosis. Available online at www.cdc.gov/nchstp/tb/faqs/tbfacts/population.htm. Cited December 9, 2003.
