Table.
TB Classification | Smear-Based Algorithm | Culture-Based Algorithm |
---|---|---|
Class A | ≥1 sputum smear results were positive. Persons diagnosed with class A TB had to complete TB treatment overseas and would be reclassified as having class B2 TB. | ≥1 sputum smear or culture results were positive or TB was clinically diagnosed. Persons diagnosed with class A TB had to complete directly observed therapy for TB overseas and would be reclassified as having class B1 TB. |
Class A TB waiver: Persons with class A TB received TB treatment overseas until their sputum smear results became negative and applied for an immigration waiver. A class A TB waiver is rare. Follow-up evaluation after arrival in the United States is mandated for persons with a class A TB waiver. | Class A TB waiver: Persons with class A TB received directly observed therapy until their sputum smear and culture results became negative and applied for an immigration waiver. A class A TB waiver is rare. Follow-up evaluation after arrival in the United States is mandated for persons with a class A TB waiver. | |
| ||
Class B1 | Chest radiograph suggestive of active TB | Chest radiograph, medical history, or examination suggestive of TB |
| ||
Class B2 | Chest radiograph suggestive of inactive TB | NA |
| ||
Class B2 latent TB infection | NA | Induration of ≥ 10 mm on TST or positive results on an IGRA |
| ||
No TB | Normal chest radiograph | Normal chest radiograph |
IGRA = interferon-γ release assay; NA = not applicable; TB = tuberculosis; TST = tuberculin skin test.