Child Health Check-Up (formerly EPSDT) - Herman & Associates ...

Child Health Check-Up Coverage and Limitations HandbookLaboratory Tests, continuedTuberculin (TB)Skin TestingEffectiveOctober 16, 2003,continuedA “Yes” response to any question indicates that the child may be at high riskand needs further assessment, e.g., symptom questionnaire, Mantouxtuberculin skin test.Children in these groups who are at high risk for TB, who do not have or are notsuspected of having active disease, and found to be infected with latent TBinfection should be seriously considered for treatment for their latent TB infectionand followed closely to ensure completion of this treatment.Providers should consider referencing the recommendations of the currentAmerican Academy of Pediatrics Committee on Infectious Disease, Red Book,the Centers for Disease Control and Prevention (CDC). For local and statespecific information on TB skin testing including risk factors as well asinformation about TB infection and TB disease, contact your local county healthdepartment, the Florida TB Physicians Network at 1-800-4TB-INFO, orFlorida’s Department of Health, Bureau of TB and Refugee Health at (850) 245-4350.Note: References: ATS/CDC. Targeted Tuberculin Testing and Treatment ofLatent Tuberculosis Infection. Am J Respir Crit Care Med Vol 161. pp S221–S247, 2000. Ozuah, P.O., et.al. Evaluation of a Risk AssessmentQuestionnaire Used to Target Tuberculin Skin Testing in Children. JAMA.2001;285:451-453UrinalysisUrinalysis is recommended for children when they are 5 and 16 years of age,and as indicated.Performing dipstick urinalysis for leukocytes is recommended annually forsexually active male and female adolescents.2-16 October 2003