報告
LTBI 轉診（針對民間外科醫師）
自 2018 年 10 月 1 日起，新的2018 年民事外科醫生結核病技術指南規定，所有經過篩選以進行身份調整的申請人均需進行IGRA 測試，這些申請人為美國合法永久居民，年齡為2歲或以上，並且現在需要向醫療機構報告LTBI。所有 IGRA 結果呈陽性、已知人類免疫缺陷病毒 (HIV) 感染或有結核病徵兆/症狀的申請人都需要進行胸部 X 光檢查。民事外科醫師不應將申請人轉介至衛生部門進行 IGRA 檢測或胸部 X 光檢查；民事外科醫生要求的所有 IGRA 和胸部 X 光檢查必須獨立於衛生部門進行。需要評估活動性結核病（胸部 X 光異常或 HIV 感染）的申請人應繼續向結核病控制中心報告。
民事外科醫生應填寫保密發病率報告，向 SFDPH 結核病預防和控制計劃報告 LTBI，並將其傳真至 (628) 206-4565。對於居住在舊金山市和縣以外的申請人，民事外科醫生應向申請人居住的縣報告。目前，我們沒有使用 CalREDIE 提供者入口網站。
| Category | Definition | Reporting requirements |
|---|---|---|
Latent TB | Positive IGRA Normal chest x-ray No known HIV No signs / symptoms of active TB disease | The applicant's name, contact information, IGRA results, chest x-ray, and treatment results must be reported to the San Francisco Department of Public Health (SFDPH) Tuberculosis Control Program using the Confidential Morbidity Report Form Fax to (628) 206-4565. Civil surgeons should offer LTBI treatment or refer patients to primary care for LTBI treatment. |
All HIV-infected | History of HIV infection | If the applicant has known HIV infection, an IGRA and a chest x-ray must be performed and they must be referred to the health department of jurisdiction for sputum testing (regardless of above results). The patient will be contacted to schedule an appointment to come to the clinic once the following is faxed: Please ID yourself as a referring Civil Surgeon Provider and fax the documents to (628) 206-4565. |
Active TB disease | Abnormal Chest X-ray (including chest X-rays) | Any confirmed or suspected case of active TB disease is required by law to be reported within one business day to the TB Prevention and Control Section by telephone at (628) 206-8524, or by fax at (628) 206-4565. This will also act as a referral and we will work with you to set up an appointment. The patient will be contacted to schedule an appointment to come to the clinic once the following is faxed: Please ID yourself as a referring Civil Surgeon Provider and fax the documents to (628) 206-4565. |