Q&A

What happens if you test positive for active TB?

What happens if you test positive for active TB?

A “positive” TB blood test result means you probably have TB germs in your body. Most people with a positive TB blood test have latent TB infection. To be sure, your doctor will examine you and do a chest x-ray. You may need other tests to see if you have latent TB infection or active TB disease.

Are people with TB infectious for life?

A person with TB disease may remain contagious until he/she has been on appropriate treatment for several weeks. It is important to note that a person with TB infection, but not disease, cannot spread the infection to others, since there are no TB bacteria in the sputum.

What is the next step for a patient who has tested positive for TB?

If you think you have been exposed to someone with TB disease, you should contact your doctor or local health department about getting a TB skin test or a special TB blood test. Be sure to tell the doctor or nurse when you spent time with the person who has TB disease.

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Can you test positive for TB but not have it?

What is latent TB infection? Persons with latent TB infection (LTBI) do not feel sick and do not have any symptoms, but usually have a positive reaction to the tuberculin skin test or TB blood test. They are infected with TB bacteria, but do not have TB disease.

Why do immigrants test positive for TB?

Testing and Diagnosis Many people born outside of the United States have been given a vaccine for TB called BCG. Vaccination with BCG may cause a false positive reaction to a TB skin test. A positive reaction to a TB skin test may be due to the BCG vaccine itself or due to infection with TB bacteria.

Why do some people test positive for tuberculosis?

A positive reaction means that the person has TB germs somewhere in the body. The person may have latent TB infection, but not necessarily the disease.

Does tuberculosis stay in your system forever?

In most people who breathe in TB germs and become infected, the body is able to fight the TB germs to stop them from growing. The TB germs become inactive, but they remain alive in the body and can become active later.

Does latent TB ever go away?

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Many people who have latent TB infection never develop TB disease. In these people, the TB bacteria remain inactive for a lifetime without causing disease. But in other people, especially people who have a weak immune system, the bacteria become active, multiply, and cause TB disease.

What is the standard isolation requirement for patients with active TB disease?

Patients with confirmed infectious TB or those being evaluated for active TB disease should be kept in airborne isolation precautions until active TB disease is ruled out or the patient is deemed to be noninfectious.

What is the treatment for latent TB?

A course of antibiotic medicine will treat latent TB. You may be given Rifampicin and Isoniazid for three months (which may be together in a tablet called Rifinah) or Isoniazid by itself for six months. Your doctor or TB specialist nurse will talk you through the treatment and answer any questions you may have.

What are the symptoms of latent TB?

The Difference between Latent TB Infection (LTBI) and TB Disease

  • a bad cough that lasts 3 weeks or longer.
  • pain in the chest.
  • coughing up blood or sputum.
  • weakness or fatigue.
  • weight loss.
  • no appetite.
  • chills.
  • fever.

Why does the CDC require mandatory reporting of tuberculosis?

Reporting cases of suspected or confirmed tuberculosis is vital to protect public health as it allows the Health Department to intervene in order to interrupt disease transmission.

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Can isoniazid be used to treat LTBI?

1 Isoniazid for LTBI Treatment (September 2018) Page | 1 of 2. 2 Isoniazid (INH) for Latent TB Infection. 3 NOTE: It is imperative to rule out active TB disease in all persons prior to initiating treatment for LTBI. 4 Nine months of Isoniazid is a regimen that has been. 5 historically used for the treatment of LTBI.

What is the efficacy of isoniazid for tuberculosis (TB) treatment?

Nine months of Isoniazid is a regimen that has been historically used for the treatment of LTBI. Clinical studies of this regimen have indicated it can be ~95\% effective in preventing progression to active TB with full compliance in immunocompetent subjects.

What are the treatment options for isoniazid infection?

Short-course treatment regimens, like 3HP and 4R, are effective, safe, and have higher completion rates than longer 6 to 9 months of isoniazid monotherapy (6H/9H). Shorter, rifamycin-based treatment regimens generally have a lower risk of hepatotoxicity than 6H and 9H.

What is the treatment for drug-resistant tuberculosis?

Treatment for Drug-Resistant TB. Extensively drug-resistant TB (XDR TB) is a rare type of MDR TB that is resistant to isoniazid and rifampin, plus any fluoroquinolone and at least one of three injectable second-line drugs (i.e., amikacin, kanamycin, or capreomycin). Treating and curing drug-resistant TB is complicated.