Kansas Tuberculosis Control Program


Update of Recommendations for the Use of Tuberculin and Isoniazid for Screening and Treating Tuberculosis Infection – May 7, 2014

Phil Griffin, Director
1000 SW Jackson, Suite 210
Topeka, Kansas 66612-1274
Phone: 785-296-5589
Emergency Phone: 877-427-7317
FAX: 785-291-3732

What is Tuberculosis?

Tuberculosis (TB) is a serious disease caused by a type of bacteria that can be spread from person to person through the air. A person with TB disease spreads the bacteria to others by coughing, laughing, sneezing, or even by speaking. TB is most commonly spread to others in confined, poorly ventilated spaces. Although anyone can be exposed to this disease, certain individuals are at higher risk for exposure, including health care professionals, the homeless, and people who were born in countries with high TB rates. Elderly people and individuals with HIV or AIDS are also more likely to get TB because their bodies are less able to fight off infections.

Being diagnosed with TB infection means you have inactive TB bacteria in your body. Because the bacteria is inactive, you are not contagious. However, TB infection may become active disease if your immune system is weakened (if you are elderly or have HIV, for example). According to the World Health Organization, more than 1/3 of the world's population has TB infection.

Being diagnosed with TB disease means you have active TB bacteria in your body. Usually a person with active TB disease exhibits symptoms such as a lasting cough, coughing up blood, fatigue, fever, loss of appetite, and weight loss. If you have TB disease, the bacteria are multiplying in your body and can be spread to others. TB disease can almost always be cured, but it may be fatal if you don't take all your medication. Treatment for TB disease typically consists of multi-drug therapy for an average of six months.

In addition to using symptoms and chest x-rays to help diagnose TB disease, sputum specimens (material coughed from deep within the lung) are sent to the Kansas Division of Health and Environmental Laboratories for microscopic examination and culture to detect and recover the TB bacterium and confirm the diagnosis. The TB bacteria grown in culture are tested against the antibiotics used to treat the disease to make sure the bacteria are sensitive to them. The laboratory also uses the newer TB gene amplification tests on microscopically positive sputum specimens to identify TB within one to two days. This is very helpful since TB bacteria grow slowly and take an average of 16 days to grow in culture but can take six weeks to grow. However, it's still important to grow the bacteria in culture for antibiotic sensitivity testing.

Disease Reporting Requirements

State laws and regulations require that cases of tuberculosis be reported to the local or state health department. The Kansas Tuberculosis Control Program provides, free-of-charge, anti-tuberculosis medications to local health departments for the treatment of TB disease. Additionally, preventive medications for individuals with TB infection are provided at no cost to local health departments or other medical providers. In order to receive medications for a patient afflicted with TB infection, the health care provider or local health department must provide the state program information about the diagnostic screening of the patient (skin test and chest x-ray results). For individuals with active TB disease, the local health department must provide information about the diagnostic screening of the patient along with information about the patient's treatment, potential contacts to the patient, and other detailed information as requested on an ongoing basis.