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Tuberculosis classification
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    Tuberculosis classification

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    Tuberculosis classification system

    The current clinical classification system for tuberculosis (TB) is based on the pathogenesis of the disease.

    Health care providers should comply with local laws and regulations requiring the reporting of TB. All persons with class 3 or class 5 TB should be reported promptly to the local health department. See list of notifiable diseases.

    Classification System for TB
    Class Type Description
    0 No TB exposure
    Not infected
    No history of exposure
    Negative reaction to tuberculin skin test
    1 TB exposure
    No evidence of infection
    History of exposure
    Negative reaction to tuberculin skin test
    2 TB infection
    No disease
    Positive reaction to tuberculin skin test
    Negative bacteriologic studies (if done)
    No clinical, bacteriologic, or radiographic evidence of TB
    3 TB, clinically active M. tuberculosis cultured (if done)
    Clinical, bacteriologic, or radiographic evidence of current disease
    4 TB
    Not clinically active
    History of episode(s) of TB
    or
    Abnormal but stable radiographic findings
    Positive reaction to the tuberculin skin test
    Negative bacteriologic studies (if done)
    and
    No clinical or radiographic evidence of current disease
    5 TB suspect Diagnosis pending
    TB disease should be ruled in or out within 3 months

    CDC TB classification for immigrants and refugees

    The U.S. Citizenship and Immigration Services has an additional TB classification for immigrants and refugees developed by the Centers for Disease Control and Prevention (CDC). The B notification program is an important screening strategy to identify new arrivals who have a high risk for TB.

    United States Immigrant/Refugee TB Classification - revised 2009
    Class
    No TB Classification (Normal)
    Class A TB with waiver, infectious
    Class B1 TB, Pulmonary
    Class B1 TB, Extrapulmonary
    Class B2 TB Latent TB Infection (LTBI) Evaluation
    Class B3 TB, Contact Evaluation

    See also


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