Public Health Nursing Practice Manual
Tuberculosis (TB) Contact Follow-up: Individual
Standard of Practice
Assess the susceptibilities of individual contacts (e.g. high risk factors, age, HIV status, immunocompromising conditions, etc.).
Refer to the Memo: School Contact Investigation (11- 9-99), the Los Angeles Unified School District and Tuberculosis Control Procedure for Contact Investigation and Reporting Suspects and Confirmed Cases of TB (Students, Employees and Volunteers Grade K-12 Only) (8-4-99), and General Protocols for Follow up (8-4-99) for follow up of high or low risk contacts in schools.
Classify contact(s) as high or low risk to becoming infected and give follow-up priority to high risk.
Initiate a medical record for high-risk contacts.
PHN Intervention – Case Finding:
Initiate contact follow-up as per TB Contact Investigation Standards in the TB Control Program Manual 2003 (Appendix L).
Explain to the contact that the identity of the index case is confidential.
Administer TST as indicated.
Offer TST and chest x-ray as indicated for worksite and/or Industrial Contact Investigation.
Initiate appropriate forms: H-289 and H-304.
PHN Intervention – Health Teaching/Counseling:
Educate contact regarding the disease process, precautions to prevent spread of disease, necessary follow-up and medication prescribed.
Educate regarding TB infection vs. TB disease.
© 2007 LAC DPH-Public Health Nursing