Background 

• 2023 TB Snapshot​: Provides an overview of risk groups, risk factors, and TB health disparities in California, 2023
  
• United States Preventive Services Task Force (USPSTF) Medical Board Letter​ (PDF): Describes updated USPSTF TB screening recommendations​​​​ (2023)
  
• California Health Advisory - Substantial Increase in Tuberculosis in California: Recommendations for California Healthcare ​Providers 2/23/2024​
  

Testing Tools

• Risk Assessment Tools: Tools to use to screen asymptomatic adults and children for TB risk factors. The Self-Risk Assessment Tool can be used by patients to answer 4 yes/no questions to assess whether they should get a TB test.
  
• Adult Risk Assessment (PDF)
  
• Pediatric Risk Assessment​ (PDF)
  
• Self-Risk Assessment (PDF)
  
• Prevent TB in Four Steps: A Guide for Medical Providers (PDF)​: A clinical algorithm that outlines the basic steps in identifying individuals at risk and testing and treating patients with LTBI in a clinical setting.
  
• How to Talk to Patients About LTBI - Adult​ (PDF) ​and Pediatric (PDF)
  
• ​See related short videos geared towards primary care physicians modeling how to discuss with patients the most important points about TB risk and LTBI testing and treatment here.
  

Treatment Tools ​

• CDC LTBI Treatment Guidance
  
• National TB Coalition of America (NTCA) LTBI Clinical​ Guidelines
• Rifamycin Drug-Drug Interactions Guide​: Overview of drug interactions with rifamycin, a primary LTBI medication 

Additional Resources 

• Preventing TB in Your Clinical Settings: A Practical ​​Guidebook​​ (PDF, 6.9 MB)
  
• Physician-Patient TB Messaging Videos: Three short videos geared towards primary care physicians modeling how to discuss with patients the most important points about TB risk and LTBI testing and treatment
  
• Why Do I Need Treatment for LTBI?​
  
• Why Should I Get Tested for LTBI?
  
• I Received a BCG Vaccine, Do I Still Need LTBI Testing and Treatment?​
• The Cost and Consequences of TB: Why Prevention is Critical (PDF)
  

• ​​County Provider Referral Letter for TB ​(PDF) and LT​​​BI​​ (PDF): Letter templates for use by TB programs to inform community providers of patient status, for patients referred by community provider to TB program for further TB/LTBI evaluation.​​