{"id":28,"date":"2019-10-03T14:01:27","date_gmt":"2019-10-03T18:01:27","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/tuberculosis\/?page_id=28"},"modified":"2026-01-16T10:45:18","modified_gmt":"2026-01-16T15:45:18","slug":"tb-infection-ltbi","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/tuberculosis\/tb-infection-ltbi\/","title":{"rendered":"TB Infection (LTBI)"},"content":{"rendered":"<div id=\"pl-28\"  class=\"panel-layout\" ><div id=\"pg-28-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-28-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-28-0-0-0\" class=\"so-panel widget widget_sow-button panel-first-child\" data-index=\"0\" ><div class=\"so-rounded panel-widget-style panel-widget-style-for-28-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-087d97bdf638-28\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=3HX44LRM3C\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tVDH TB Central Resource Hub\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"panel-28-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Page Navigation<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<ul>\n<li><a href=\"#reporting\">Reporting<\/a><\/li>\n<li><a href=\"#LTBI-toolkit\">LTBI Patient and Provider Toolkit<\/a><\/li>\n<li><a href=\"#testing\">Testing<\/a><\/li>\n<li><a href=\"#treatment\">Treatment<\/a><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-28-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div id=\"reporting\" class=\"panel-widget-style panel-widget-style-for-28-0-0-2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Reporting<\/h2>\n<p>Since November 14, 2018, latent TB infection (LTBI) has been reportable in Virginia among persons of any age and not just in children younger than four years of age. Diagnosing tuberculosis infection requires that active TB has been ruled out. Results of a test for TB infection (tuberculin skin test or interferon gamma release assay) as well as chest x-ray results and a lack of active TB symptoms should be included in morbidity reports. TB infection is also reportable by directors of laboratories.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2023\/03\/VIRGINIA-REPORTABLE-DISEASE-LIST.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Virginia Reportable Disease List<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2023\/03\/Conditions-Reportable-by-Directors-of-Laboratories.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Virginia Conditions Reportable by Directories of Laboratories<\/a><\/li>\n<\/ul>\n<p>View the\u00a0Health Commissioner Update:\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/112\/2018\/11\/Disease-Regulations-Update.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Disease Regulations Update.<\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/LTBI-Reporting-Form-Virginia_Central-Office.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Download a LTBI Case Report Form<\/a>. Once complete, please either fax (804-416-5178) or send via encrypted email to <a href=\"mailto:tuberculosis@vdh.virginia.gov\" aria-describedby=\"external-link-warning\">tuberculosis@vdh.virginia.gov<\/a>.<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/local-health-districts\/\" target=\"_blank\" rel=\"noopener\">Find contact information for your local health department.<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/112\/2019\/08\/Tuberculosis-Disease-and-Tuberculosis-Infection-Reporting-Guidance-in-Virginia.August.2019.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tuberculosis Disease and Tuberculosis Infection Reporting Guidance in Virginia<\/a><\/li>\n<\/ul>\n<h3>For Local Health Districts:<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2020\/02\/VDH-LTBI-Reporting-Guidance.2.2020.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">LTBI Reporting Guidance for Local Health Districts<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/LTBI-Reporting-Form-Virginia_District-Version_08.16.2022.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">LTBI Case Report Form<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/LTBI-Case-Report-Form-Email-Fax-Template-Cover-Letter.docx\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">LTBI Case Report Form Email\/Fax Template<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2020\/02\/Feb-13-Latent-TB-Infection.zip\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"doc-download-warning\">MP4 of LTBI Reporting Update Polycom 2\/13\/2020<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/LTBI-Completion-Card.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">LTBI Completion Card<\/a> (Print double sided on card-stock)<\/li>\n<\/ul>\n<hr \/>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-28-0-0-3\" class=\"so-panel widget widget_sow-editor\" data-index=\"3\" ><div id=\"LTBI-toolkit\" class=\"panel-widget-style panel-widget-style-for-28-0-0-3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Latent Tuberculosis Infection (LTBI) Patient and Provider Toolkit<\/h2>\n<p><a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=M7YTKLKA4L\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">If you would like to order copies of the following materials, please complete this form.<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-28-0-0-4\" class=\"so-panel widget widget_sow-accordion\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-28\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"patient-resources\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-patient-resources\" aria-controls=\"accordion-content-patient-resources\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tPatient Resources\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-patient-resources\"\n\t\t\t\tid=\"accordion-content-patient-resources\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li>Patient Brochure\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-broch-FINAL_4.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">English<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-AM.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Amharic<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-AR.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Arabic<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-CN.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Chinese<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_4x9-Patient-broch-Final.pdf\" target=\"_blank\" rel=\"noopener\">Dari<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB_4x9-Patient-broch-Final-ht-ht.pdf\" target=\"_blank\" rel=\"noopener\">Haitian Creole<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-KO.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Korean<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_4x9-Patient-broch-Final-1.pdf\" target=\"_blank\" rel=\"noopener\">Pashto<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_4x9-Patient-broch-Final-RU.pdf\" target=\"_blank\" rel=\"noopener\">Russian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-ES.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Spanish<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB_4x9-Patient-broch-Final-sw-sw.pdf\" target=\"_blank\" rel=\"noopener\">Swahili<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-TL.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tagalog<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/06\/Latent-TB_4x9-broch-FINAL_4-uk_updated.pdf\" target=\"_blank\" rel=\"noopener\">Ukrainian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-Patient-broch-Final-VI.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Vietnamese<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Patient Resource Guide\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_Final_4.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">English<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-AM.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Amharic<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-AR.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Arabic<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-CN.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Chinese<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB-Patient-Guide-8.pdf\" target=\"_blank\" rel=\"noopener\">Dari<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB-Patient-Guide-8.5x11_spreads-ht-ht.pdf\" target=\"_blank\" rel=\"noopener\">Haitian Creole<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-KO.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Korean<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB-Patient-Guide-8-1.pdf\" target=\"_blank\" rel=\"noopener\">Pashto<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB-Patient-Guide-8.5x11_spreads-RU.pdf\" target=\"_blank\" rel=\"noopener\">Russian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-ES.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Spanish<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB-Patient-Guide-8.5x11_spreads-sw-sw.pdf\" target=\"_blank\" rel=\"noopener\">Swahili<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-TL.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tagalog<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB-Patient-Guide-8-UK.pdf\" target=\"_blank\" rel=\"noopener\">Ukrainian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Patient-Guide-8.5x11_spreads-VI.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Vietnamese<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Patient Flyer\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11_Final_4.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">English<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-AM.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Amharic<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-AR.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Arabic<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-CN.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Chinese<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_Patient_Flier-8.pdf\" target=\"_blank\" rel=\"noopener\">Dari<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB_Patient_Flier-8.5-x-11-ht-ht.pdf\" target=\"_blank\" rel=\"noopener\">Haitian Creole<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-KO.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Korean<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_Patient_Flier-8-1.pdf\" target=\"_blank\" rel=\"noopener\">Pashto<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_Patient_Flier-8.5-x-11-RU.pdf\" target=\"_blank\" rel=\"noopener\">Russian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-ES.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Spanish<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2024\/03\/Latent-TB_Patient_Flier-8.5-x-11-sw-sw.pdf\" target=\"_blank\" rel=\"noopener\">Swahili<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-TL.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tagalog<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/10\/Latent-TB_Patient_Flier-8-UK.pdf\" target=\"_blank\" rel=\"noopener\">Ukrainian<\/a> |\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Flier-8.5-x-11-VI.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Vietnamese<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"provider-resources\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-provider-resources\" aria-controls=\"accordion-content-provider-resources\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tProvider Resources\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-provider-resources\"\n\t\t\t\tid=\"accordion-content-provider-resources\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Welcome-Letter-with-Signature_FINAL.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Provider Welcome Letter<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_4x9-4-panel-broch-Provider-Final_3.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Provider Brochure<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB-Provider-Guide-8.5x11_pages_Final_3.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Provider Resource Guide<\/a><\/li>\n<li>LTBI Poster\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Poster-12x18_FINAL_3.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">English<\/a> | <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Latent-TB_Patient_Poster-12x18_FINAL-ES.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Spanish<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Provider-Talking-Points-with-Adult-Patients_FINAL-Word-Version_Adjusted-Spacing.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Provider Talking Points with Adult Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/Provider-Talking-Points-with-Pediatric-Patients_FINAL-Word-Version_Adjusted-Spacing.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Provider Talking Points with Pediatric Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/NTCA_Provider_Guidance_3HP.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">3HP NTCA Provider Guidance<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2022\/08\/LTBI_Treatment_Regimens.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">CDC LTBI Treatment Regimens<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-28-0-0-5\" class=\"so-panel widget widget_sow-editor\" data-index=\"5\" ><div id=\"testing\" class=\"panel-widget-style panel-widget-style-for-28-0-0-5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<h2>Testing<\/h2>\n<p>There are two kinds of tests that are used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests.\u00a0 A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has\u00a0<a class=\"tp-link-policy\" href=\"https:\/\/www.cdc.gov\/tb\/webcourses\/TB101\/page8050.html\" target=\"_blank\" rel=\"noopener\">latent TB infection\u00a0(LTBI) or has progressed to\u00a0TB disease<\/a>. Other tests, such as a chest x-ray and a sample of sputum (if symptomatic), are needed to see whether the person has TB disease.\u00a0 - CDC, 2018<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-28-0-0-6\" class=\"so-panel widget widget_sow-accordion\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-28\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"cdc-tb-testing-guidelines\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-cdc-tb-testing-guidelines\" aria-controls=\"accordion-content-cdc-tb-testing-guidelines\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tCDC TB Testing Guidelines\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-cdc-tb-testing-guidelines\"\n\t\t\t\tid=\"accordion-content-cdc-tb-testing-guidelines\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/testing\/index.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Testing for Tuberculosis<\/a><\/li>\n<li style=\"text-align: left;\"><a href=\"https:\/\/www.cdc.gov\/tb\/hcp\/testing-diagnosis\/tuberculin-skin-test.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Tuberculin Skin Testing<\/a><\/li>\n<li style=\"text-align: left;\"><a href=\"https:\/\/www.cdc.gov\/tb\/hcp\/testing-diagnosis\/interferon-gamma-release-assay.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Interferon-Gamma Release Assays (IGRAs)<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/publications\/ltbi\/pdf\/CDC-USPSTF-LTBI-Testing-Treatment-Recommendations-508.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Latent TB Infection Testing and Treatment - Summary of US Recommendations (2018)<\/a><\/li>\n<li style=\"text-align: left;\"><a href=\"https:\/\/www.idsociety.org\/practice-guideline\/diagnosis-of-tb-in-adults-and-children\/\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Diagnosis of Tuberculosis in Adults and Children (2016) - ATS\/IDSA\/CDC Guidelines<\/a><\/li>\n<li style=\"text-align: left;\"><a href=\"https:\/\/www.cdc.gov\/mmwr\/PDF\/rr\/rr4906.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection (2000) - CDC<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><div id=\"panel-28-0-0-7\" class=\"so-panel widget widget_sow-editor\" data-index=\"7\" ><div id=\"treatment\" class=\"panel-widget-style panel-widget-style-for-28-0-0-7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<h2>Treatment<\/h2>\n<p>People with latent TB infection do not have symptoms, and they cannot spread TB bacteria to others. However, if latent TB bacteria become active in the body and multiply, the person will go from having latent TB infection to being sick with TB disease. For this reason, people with latent TB infection should be treated to prevent them from developing TB disease.<\/p>\n<ul>\n<li style=\"text-align: left;\">Treatment of latent TB infection is essential to controlling TB in the United States because it substantially reduces the risk that latent TB infection will progress to TB disease. In the United States, up to 13 million people may have latent TB infection. Without treatment, on average 1 in 10 people with latent TB infection will get sick with TB disease in the future. The risk is higher for people with HIV, diabetes, or other conditions that affect the immune system. More than 80% of people who get sick with TB disease in the United States each year get sick from untreated latent TB infection.<\/li>\n<li style=\"text-align: left;\">Treatment of latent TB infection should start after excluding the possibility of TB disease.<\/li>\n<li style=\"text-align: left;\">As of 2018, there are four CDC-recommended\u00a0<a class=\"tp-link-policy\" href=\"https:\/\/www.cdc.gov\/tb\/topic\/treatment\/ltbi.htm\" target=\"_blank\" rel=\"noopener\">treatment regimens for latent TB infection<\/a>\u00a0that use isoniazid (INH), rifapentine (RPT), and\/or rifampin (RIF). All the regimens are effective. Healthcare providers should prescribe the more convenient shorter regimens, when possible. Patients are more likely to complete shorter treatment regimens. Treatment must be modified if the patient is a contact of an individual with drug-resistant TB disease. -CDC, 2018<\/li>\n<\/ul>\n<p style=\"text-align: left;\">The Centers for Disease Control and Prevention's Division of Tuberculosis Elimination (DTBE) has partnered with Medscape, a leading online resource for physicians and healthcare professionals, to produce an expert video commentary\u00a0featuring DTBE Director, Dr. Philip LoBue.\u00a0 The video provides information for physicians on the new updated recommendations for use of once-weekly isoniazid-rifapentine for 12 weeks (3HP)for treatment of latent TB infection.\u00a0 Dr. LoBue discusses the updated recommendation, as well as available DTBE resources for healthcare providers.\u00a0The video is a great way to share information with healthcare providers on the 12-dose regimen and the importance of latent TB infection treatment. You can find the video online: <a href=\"https:\/\/www.medscape.com\/viewarticle\/905810?src=par_cdc_stm_mscpedt&amp;faf=1\" target=\"_blank\" rel=\"noopener\">Once-Weekly Isoniazid-Rifapentine for 12 Weeks (3HP) Video<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-28-0-0-8\" class=\"so-panel widget widget_sow-accordion panel-last-child\" data-index=\"8\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-004838da7bad-28\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"cdc-medication-guidelines-and-treatment-regimens\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-cdc-medication-guidelines-and-treatment-regimens\" aria-controls=\"accordion-content-cdc-medication-guidelines-and-treatment-regimens\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tCDC Medication Guidelines and Treatment Regimens\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-cdc-medication-guidelines-and-treatment-regimens\"\n\t\t\t\tid=\"accordion-content-cdc-medication-guidelines-and-treatment-regimens\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/hcp\/treatment\/latent-tuberculosis-infection.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Latent Tuberculosis Infection Treatment Regimens<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/67\/wr\/mm6725a5.htm?s_cid=mm6725a5_w\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Isoniazid and Rifapentine (3HP)<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.cdc.gov\/tb\/communication-resources\/3hp-medication-tracker.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">3HP Medication Tracker<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/topic\/treatment\/pdf\/3HR_Medication_Tracker.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">3 Months of Isoniazid and Rifampin (3HR) Medication Tracker<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/communication-resources\/4r-medication-tracker.html\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">4 Months of Rifampin Medication Tracker<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/9H_Medication_Tracker_508_English.pdf\">9<\/a><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/9H_Medication_Tracker_508_English.pdf\"> Months of Isoniazid Medication Tracker<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"vdh-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-vdh-guidelines-and-recommendations\" aria-controls=\"accordion-content-vdh-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tVDH Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-vdh-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-vdh-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li>Nursing Guidelines and Directives\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/Nursing-Directive-Management-of-Individuals-with-Latent-Tuberculosis-Infection-LTBI.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Management of Individuals with Latent Tuberculosis Infection (LTBI)<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2025\/02\/Isoniazid-Rifapentine-for-Treatment-of-Latent-TB-Infection-in-Health-Dept.-Settings-Feb.-2025.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Use of Isoniazid Rifapentine for Treatment of Latent TB Infection in Health Dept. Settings<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/175\/2023\/07\/LTBI-and-Opioid-Guidance-Note_July-2023-1.pdf\" target=\"_blank\" rel=\"noopener\">Latent Tuberculosis Infection Treatment and Opioid Use - Guidance Note<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"national-guidelines-and-recommendations\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-national-guidelines-and-recommendations\" aria-controls=\"accordion-content-national-guidelines-and-recommendations\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tNational Guidelines and Recommendations\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-national-guidelines-and-recommendations\"\n\t\t\t\tid=\"accordion-content-national-guidelines-and-recommendations\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<ul>\n<li>Testing and Treatment of Latent Tuberculosis Infection in the United States: A Clinical Guide for Health Care Providers and Public Health Programs (NTCA\/NSTC, 2025).\u00a0 Download a copy of the recommendations from the <a href=\"http:\/\/www.tbcontrollers.org\/resources\/tb-infection\/clinical-recommendations\/#.YDO-F2FKiwc\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">National TB Coalition of America website<\/a>, or <a href=\"https:\/\/tbcontrollers.org\/docs\/NSTC\/LTBI_Clinical_Guide_Feb2025_FINAL.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">directly here<\/a>.<\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/tb\/hcp\/education\/latent-tb-infection-guide-primary-care-providers.html#:~:text=Guide%20for%20primary%20care%20providers%20with,latent%20TB%20infection%20diagnosis%20and%20treatment%20information.\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Latent Tuberculosis Infection: A Guide for Primary Health Care Providers (CDC, 2020)<\/a><\/li>\n<li><a href=\"http:\/\/globaltb.njms.rutgers.edu\/educationalmaterials\/Products\/2020%20Peds%20LTBI%20Guide\/Pediatric%20LTBI%20Handbook%202020.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Management of Latent Tuberculosis Infection in Children and Adolescents: A Guide for the Primary Care Provider (GTBI 2020)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/rr\/rr6901a1.htm?s_cid=rr6901a1_w&amp;deliveryName=USCDC_18_1-DM20056\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Guidelines for the Treatment of Latent Tuberculosis Infection: Recommendations from NTCA and CDC, 2020<\/a><\/li>\n<li><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2547762\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Screening for Latent Tuberculosis Infection in Adults \u2013 US Preventive Services Task Force Recommendation Statement (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/67\/wr\/mm6725a5.htm\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Update of Recommendations for Use of Once-Weekly Isoniazid-Rifapentine Regimen to Treat Latent Mycobacterium tuberculosis Infection (2018)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/112\/2018\/11\/NTCA-Provider-Guidance-on-3HP.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">NTCA Provider Guidance on 3HP<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6048a3.htm\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Recommendations for Use of an Isoniazid-Rifapentine Regimen with Direct Observation to Treat Latent Mycobacterium tuberculosis Infection (2011)<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5080618\/pdf\/nihms824264.pdf\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"pdf-download-warning\">Three months of weekly rifapentine plus isoniazid is less hepatotoxic than nine months of daily isoniazid for LTBI (2015)<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/rr4906a1.htm\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection (MMWR, 2000)<\/a><\/li>\n<li><a href=\"https:\/\/www.currytbcenter.ucsf.edu\/products\/latent-tb-videos-healthcare-providers\" target=\"_blank\" rel=\"noopener\" aria-describedby=\"external-link-warning\">TB Free California and Curry International Tuberculosis Center LTBI Videos for Healthcare Providers<\/a><\/li>\n<\/ul>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-28-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-28-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-28-1-0-0\" class=\"so-panel widget widget_text panel-first-child\" data-index=\"9\" ><div class=\"moonside panel-widget-style panel-widget-style-for-28-1-0-0\" >\t\t\t<div class=\"textwidget\"><p><span id=\"pdf-download-warning\">Opens pdf to download<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><div id=\"panel-28-1-0-1\" class=\"so-panel widget widget_text panel-last-child\" data-index=\"10\" ><div class=\"moonside panel-widget-style panel-widget-style-for-28-1-0-1\" >\t\t\t<div class=\"textwidget\"><p><span id=\"doc-download-warning\">Opens document to download<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/div><div id=\"pgc-28-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-28-1-1-0\" class=\"so-panel widget widget_text panel-first-child\" data-index=\"11\" ><div class=\"moonside panel-widget-style panel-widget-style-for-28-1-1-0\" >\t\t\t<div class=\"textwidget\"><p><span id=\"new-window-warning\">Opens in a new window<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><div id=\"panel-28-1-1-1\" class=\"so-panel widget widget_text panel-last-child\" data-index=\"12\" ><div class=\"moonside panel-widget-style panel-widget-style-for-28-1-1-1\" >\t\t\t<div class=\"textwidget\"><p><span id=\"external-link-warning\">External link will open in new window.\u00a0 Click link to exit Virginia Department of Health Website.\u00a0<\/span><\/p>\n<\/div>\n\t\t<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Reporting LTBI Patient and Provider Toolkit Testing Treatment &nbsp; Reporting Since November 14, 2018, latent TB infection (LTBI) has been reportable in Virginia among persons of any age and not just in children younger than four years of age. Diagnosing tuberculosis infection requires that active TB has been ruled out. Results of a test for [&hellip;]<\/p>\n","protected":false},"author":499,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-28","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TB Infection (LTBI) - Tuberculosis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/tuberculosis\/tb-infection-ltbi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TB Infection (LTBI) - Tuberculosis\" \/>\n<meta property=\"og:description\" content=\"Reporting LTBI Patient and Provider Toolkit Testing Treatment &nbsp; Reporting Since November 14, 2018, latent TB infection (LTBI) has been reportable in Virginia among persons of any age and not just in children younger than four years of age. 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