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Alaska Tuberculosis Program Manual - Epidemiology - State of Alaska

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Table 2: TIME FRAMES FOR INVESTIGATING THE INDEX PATIENT AND THE SITES OF<br />

TRANSMISSION 20<br />

Activity<br />

First Index Patient Interview<br />

Number <strong>of</strong> days following notification<br />

within which the index patient should be<br />

interviewed in person (i.e., not by<br />

telephone)<br />

Residence Visit<br />

Number <strong>of</strong> days following the first index<br />

patient interview within which the place<br />

<strong>of</strong> residence <strong>of</strong> the index patient should<br />

be visited<br />

Field Investigation<br />

Number <strong>of</strong> days following initiation <strong>of</strong> the<br />

contact investigation within which all<br />

potential settings for transmission should<br />

be visited<br />

Index Patient Reinterviews<br />

Length <strong>of</strong> time after the first interview<br />

within which the index patient should be<br />

reinterviewed one or more times for<br />

clarification and additional information<br />

Reassessment <strong>of</strong> Index Patient<br />

Suspects Expected to Be Cases <strong>of</strong> <strong>Tuberculosis</strong><br />

Suspects with Indications <strong>of</strong><br />

Infectiousness<br />

Suspects Without Indications<br />

<strong>of</strong> Infectiousness<br />

≤1 Business Day <strong>of</strong> Reporting ≤3 Business Days <strong>of</strong><br />

Reporting<br />

≤3 Business Days After First<br />

Interview<br />

5 Business Days After the<br />

Start <strong>of</strong> the Investigation<br />

1 or 2 Weeks After First<br />

Interview<br />

3 Business Days After First<br />

Interview<br />

5 Business Days After the<br />

Start <strong>of</strong> the Investigation<br />

1 or 2 Weeks After First<br />

Interview<br />

Information about the index patient should be reassessed at least weekly until drug-susceptibility results are available<br />

for the Mycobacterium tuberculosis isolate or for 2 months following notification, whichever is longer.<br />

Source: CDC. Guidelines for the investigation <strong>of</strong> contacts <strong>of</strong> persons with infectious tuberculosis: recommendations from<br />

the National <strong>Tuberculosis</strong> Controllers Association and CDC, and guidelines for using the QuantiFERON®-TB Gold test<br />

for detecting Mycobacterium tuberculosis infection, United <strong>State</strong>s. MMWR 2005;54(No. RR-15):7–8.<br />

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 Contact Investigation 11.13<br />

Revised November 2012

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