[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-396422-105":59,"doc-detail-396422-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","new-york-city-department-of-health-protocols-for-latent-tb-infection-treatment","New York City Department of Health Protocols for Latent TB Infection Treatment","","New York City Department of Health protocols outline evaluation and management for latent TB infection (LTBI) treatment, starting with identifying candidates who need preventive therapy and determining suitability through medical history, physical examination, HIV risk assessment and testing, and targeted screening for TB exposure. The protocol specifies diagnostic steps including chest X-ray and laboratory testing, then classifies patients based on findings. It also covers LTBI treatment regimens, drug options, special candidate groups such as pregnant women, monitoring, handling interrupted therapy, completion criteria, and follow-up after treatment.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/new-york-city-department-of-health-protocols-for-latent-tb-infection-treatment/396422/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/new-york-city-department-of-health-protocols-for-latent-tb-infection-treatment/396422.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-26",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who should receive a medical evaluation for latent TB infection preventive treatment?","Question",{"text":113,"@type":114},"Individuals with a positive TST reaction should be examined by a physician to rule out active TB disease and to evaluate whether preventive treatment is appropriate.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What does the protocol require for chest X-ray in LTBI evaluation?",{"text":118,"@type":114},"Candidates for preventive treatment should undergo a chest X-ray to rule out pulmonary TB. Children under 5 require both posterior-anterior and lateral views; others typically receive posterior-anterior only, with additional x-rays at the physician’s discretion.",{"name":120,"@type":111,"acceptedAnswer":121},"What liver monitoring is recommended for certain patients starting LTBI treatment?",{"text":122,"@type":114},"Patients with a history of heavy alcohol ingestion, liver disease, or hepatitis, and those older than 35 years should have baseline liver function tests. Abnormal results require physician evaluation within 72 hours of starting preventive treatment.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},396422,1790648957,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","New York City Department of Health Protocols for Latent TB Infection Treatment  \nCONTENT  \nA. Medical evaluation for latent TB infection (LTBI) treatment  \n1. Medical history and physical examination  \n2. Chest x-ray  \n3. Laboratory tests  \nB. Candidates for LTBI treatment  \n1. Individuals who should receive preventive treatment, regardless of age  \n2. Individuals who should receive preventive treatment if younger than 35 years old  \n3. Individuals who should start preventive treatment, regardless of their tuberculin skin test (TST) reaction  \n4. Pregnant women as candidates for preventive treatment  \nC. LTBI treatment regimens  \n1. Standard regimen: isoniazid (INH)  \n2. Alternative regimen: rifampin  \n3. Alternative regimens for contacts of patients with INH- and rifampinresistant TB  \n4. Regimens for women who become pregnant while taking preventive treatment  \n5. Regimens for individuals with radiographic evidence of old, healed TB (Classes IV, V)  \nD. Monitoring patients during LTBI treatment  \nE. Interrupted or incomplete LTBI treatment  \n1. Patients who should start a new regimen  \n2. Patients who should complete the previous regimen  \nF. Completing LTBI treatment  \nG. Follow-up for patients who have completed LTBI treatment  \nPROTOCOL FOR THE MEDICAL EVALUATION FOR LATENT TB INFECTION TREATMENT  \nAll individuals found to have a positive TST reaction should be examined by a physician to rule out tuberculosis (TB) disease and to be evaluated for preventive treatment. The medical evaluation should include the following:  \n1. Medical history and physical examination  \nAll patients aged 18 to 64 years, including those without behavioral risk factors for HIV, should be counseled and offered HIV testing unless they have documentation of (1) a positive HIV antibody test or (2) a negative result to an HIV antibody test given less than 6 months ago.  \nAll patients should be asked about risk factors for the development of TB disease, including recent close contact with a person who has TB disease. Some patients, however, do not know that they are contacts. Therefore, the TB Registry should be checked for whether the patient has been reported as a contact.  \nAll patients should be asked about previous preventive treatment for TB. Those who have completed a course of preventive treatment in the past should be asked about recent close contact with a person who has TB disease. For HIV-  \nseronegative patients, a chest x-ray and a repeat course of preventive treatment are not necessary. However, HIV-seropositive patients who have completed a course of preventive treatment but have been re-exposed to a person with pulmonary or laryngeal TB should be given another course of preventive treatment, regardless of their CD4+ T-lymphocyte count.  \nAll patients should be evaluated for and asked about their history of alcohol ingestion, liver disease, and hepatitis. See \"laboratory tests\" for specific tests that should be ordered. All patients should be assessed for contraindications to preventive treatment. For contraindications to specific drugs used for preventive treatment, see Section C.  \n2. Chest X-ray  \nAll individuals being considered for preventive treatment should undergo a chest x-ray to rule out pulmonary TB disease. Children younger than 5 years old (i.e., up to the day of the fifth birthday) should undergo both a posterior-anterior and a lateral chest x-ray. All other individuals should receive a posterior-anterior chest xray only; additional x-rays should be done at the physician's discretion.  \nIndividuals with a normal chest x-ray, a positive TST reaction, and no signs or symptoms ofTB disease should be classified as Class II.  \nIndividuals with an abnormal chest x-ray consistent with active TB disease should be classified as Class V (High) and managed according to Section IV and Section V.  \nIndividuals with a chest x-ray showing noncalcified fibrotic lesions suggestive of old, healed TB should be evaluated for current symptom","cbCaibPepbCejUWh","https://ap.wps.com/l/cbCaibPepbCejUWh","pdf",135554,18,"English","# Content\n## A. Medical evaluation for latent TB infection (LTBI) treatment\n## B. Candidates for LTBI treatment\n## C. LTBI treatment regimens\n## D. Monitoring patients during LTBI treatment\n## E. Interrupted or incomplete LTBI treatment\n## F. Completing LTBI treatment\n## G. Follow-up for patients who have completed LTBI treatment\n# PROTOCOL FOR THE MEDICAL EVALUATION FOR LATENT TB INFECTION TREATMENT\n## 1. Medical history and physical examination\n## 2. Chest X-ray\n## 3. Laboratory tests\n# PROTOCOL FOR IDENTIFYING CANDIDATES FOR LATENT TB INFECTION TREATMENT","[{\"question\":\"Who should receive a medical evaluation for latent TB infection preventive treatment?\",\"answer\":\"Individuals with a positive TST reaction should be examined by a physician to rule out active TB disease and to evaluate whether preventive treatment is appropriate.\"},{\"question\":\"What does the protocol require for chest X-ray in LTBI evaluation?\",\"answer\":\"Candidates for preventive treatment should undergo a chest X-ray to rule out pulmonary TB. Children under 5 require both posterior-anterior and lateral views; others typically receive posterior-anterior only, with additional x-rays at the physician’s discretion.\"},{\"question\":\"What liver monitoring is recommended for certain patients starting LTBI treatment?\",\"answer\":\"Patients with a history of heavy alcohol ingestion, liver disease, or hepatitis, and those older than 35 years should have baseline liver function tests. Abnormal results require physician evaluation within 72 hours of starting preventive treatment.\"}]","New York City Department of Health Protocols for Latent TB Infection Treatment | PDF",1790441171,45]