Section 696.140  Screening for Latent Tuberculosis Infection (LTBI) and Active Tuberculosis (TB) Disease

A TB screening test shall be used when screening persons for latent TB infection (LTBI). Persons who have signs and symptoms of active TB disease or a positive TB screening test result shall complete a diagnostic evaluation for active TB disease in accordance with the Centers for Disease Control and Prevention (CDC) guidelines, Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection and Guidelines for Health-Care Settings.

a)         Screening for Latent TB Infection

1)         Persons who are contacts to suspected or confirmed cases of active TB disease shall be evaluated in accordance with the CDC Guidelines for the Investigation of Contacts.

2)         Workers and clients at health care settings and other residential settings serving high-risk groups shall be screened in accordance with this subsection (a)(2) and the following CDC guidelines:  Targeted Tuberculin Testing and Treatment of Latent Tuberculosis Infection, Guidelines for Health-Care Settings,  Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC.

A)        Health care workers and workers in other residential care settings serving high-risk groups shall obtain a TB screening test within seven days after being employed.  If Mantoux skin testing is used, two-step testing shall be done, with the first test placed within seven days after employment.  However, a second skin test is not needed if the worker has a documented skin test result from any time during the previous 12 months. The need for routine periodic screening shall be determined by a risk assessment.

B)        All clients in non-acute care residential health care settings serving high-risk groups shall obtain a TB screening test within seven days after admission.  If Mantoux skin testing is used for clients with an anticipated stay longer than 30 days, two-step testing shall be done, with the first test placed within seven days after admission. Routine periodic screening shall be determined by a risk assessment performed in cooperation with the local TB control authority.

C)        TB screening shall be instituted in other residential care settings serving high-risk groups as directed by the local TB control authority or the Department when a community or residential care setting has a higher than expected incidence of active TB disease or prevalence of LTBI.

D)        Inmates and employees in correctional and detention facilities shall be screened in accordance with the CDC guideline Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC.

3)         Workers in child day care and pre-school settings shall obtain a TB screening test within seven days after being employed.  If Mantoux skin testing is used, two-step testing shall be done, with the first test administered within seven days after employment.  Routine, periodic screening of workers shall be determined by the child day care or pre-school facility's TB risk assessment.

b)         Screening for Active TB Disease. The following persons shall be screened for active TB disease:

1)         Persons with a documented positive TB screening test result;

2)         Clients admitted to health care settings and residential care settings serving high-risk groups; and

3)         Inmates in correctional and detention facilities, who shall be screened for active TB disease in accordance with Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC.

(Source:  Amended at 36 Ill. Reg. 15267, effective October 2, 2012)