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Guidelines
Pathogens
Antimicrobials
Known history of TB exposure or contact with someone with TB (consider occupational exposures)
Time spent in endemic country
foreign born, work, travel
Living or working in crowded and or low income settings
DTES, incarceration, Aboriginal reserve
Known previous disease (call BC TB Control to get background info including evidence of effective treatment and share with clinical team)
Immunocompromised
eg: Organ transplant, HIV/AIDs, prolonged steroid use
Certain co-morbidities
Diabetes, cancer, kidney disease, silicosis
Increased age/elderly
Respiratory symptoms (cough, chest pain, hemoptysis) particularly if longer than 3 weeks and/or unresolved with antibiotics
Constitutional symptoms
Fever/night sweats
Unexplained weight loss
Fatigue
Loss of appetite