Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska

All children with a positive TST should be promptly evaluated, regardless of BCG immunization
status. Tuberculosis disease should be suspected strongly in any symptomatic child with a
positive TST result regardless of history of BCG immunization. TST-positive children from
countries where TB is common are likely to be infected with TB and are at risk of developing
active TB disease, even if they have been vaccinated with BCG. 17
For some children, such as children recently immunized with BCG vaccine, children with
documented multiple BCG immunizations or children who immigrated from a country with a low
prevalence of TB, treatment for LTBI may not be indicated. In such cases follow up should
include patient education and awareness of the signs and symptoms of tuberculosis disease.
A L A S K A T U B E R C U L O S I S P R O G R A M M A N U A L Diagnosis and Treatment of LTBI and TB Disease in Children 9.10
R e v i s e d N o v e m b e r 2 0 1 2