For Partners & Providers
Successful treatment of TB in Dane County is dependent on good communication between Public Health staff, health care providers and the state TB program.
By law, medical providers, infection control practitioners, and laboratories must report all patients with suspected or confirmed cases of tuberculosis to us within 24 hours of diagnosis. Routine follow up visits must also be reported.
What to Report
Clinicians and laboratories must report:
- Clinical suspicion of TB (Pulmonary or Extrapulmonary)
- A smear from any site that is positive for acid-fast bacilli (AFB)
- A nucleic acid-based assay positive for M. tuberculosis complex
- A positive culture for M. tb complex
- Biopsy, pathology, or autopsy findings consistent with active TB
- A patient being treated with anti-TB medications for suspected or confirmed TB
- Any positive TB test (TB Skin test or TB Blood test/IGRA)
- Any patient being treated with anti-TB medications for Latent TB Infection
- Any patient who has finished treatment for Latent TB Infection
Clinicians are required to report continuation, discontinuation, completion and other outcomes of patient treatment (for Active OR Latent TB). In addition, they should report contacts of active TB cases who are receiving treatment for TB Infection.
When to Report
- Patients with active or suspected cases of TB in Dane County must be reported to us within 24 hours of diagnosis.
- People with latent TB in Dane County must be reported to us within 72 hours.
- Any follow-up on people with active, suspected or latent TB must also be reported to us, this includes starting treatment AND completing treatment.
How to Report
People with Active/Suspected TB
- Call the TB on-call nurse at (608) 266-4821 during our normal business hours: Monday – Friday from 7:45 am – 4:30 pm.
- During normal business hours, you may also fax notification (demographic information, lab work, radiology, notes, etc) to (608) 266-4858. If you are faxing, please call the TB On-Call nurse to confirm receipt of fax.
- Outside of normal business hours, call (608) 267-3913 to report the case. If the line is busy, DO NOT leave a message. Hang up and try calling again in a minute or two, as we may be working on a critical incident.
*To report a positive TB test- fax the LTBI reporting form to us
*To order LTBI treatment through the health department, fax the LTBI Medication request form to us
*To report LTBI treatment through a providers office, fax the LTBI follow up form to us
If patient is symptomatic, instruct the patient on isolation precautions.
- Patient must stay home until appropriate follow up is received (provider follow up, CXR, sputum collection, etc.)
- Patients are not allowed to go out in public (this includes school, work, church, large gatherings, etc.)
- Patients may go outside for fresh air and have home windows open, if desired.
Make sure patient has masks to wear for the ride home and to medical appointments, etc.
- Refer to Infectious Disease provider (or other provider who will manage TB care).
- Order a chest X-ray.
- Notify Public Health.
- A Public Health Nurse will follow up with patient on the next business day to assess the need for home sputum collection.
- LTBI Reporting Form
- LTBI Request for Medication Form
- LTBI Follow Up Form
- Active TB Disease Request for Medication Form
- TB Reporting Requirements & Isolation Information
- Risk Factors for LTBI Treatment
- Core Curriculum on Tuberculosis: What the Clinician Should Know
- TB Treatment Guidelines
- Treatment of Drug-Susceptible Tuberculosis
- Drug-Resistant Tuberculosis: A Survival Guide for Clinicians, 3rd edition
- Frequently Asked Questions on Ordering TB Medications
- Provider Guidance: Using the Isonizaid/Rifapentine Regimen to treat LTBI