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. Author manuscript; available in PMC: 2016 Nov 3.
Published in final edited form as: Int J Tuberc Lung Dis. 2008 Mar;12(3 Suppl 1):39–43.

Table.

TB screening questionnaire (modified from Mohammed et al.7).

1 Has the patient had a cough for ≥3 weeks?
2 Has the patient had night sweats for ≥3 weeks?
3 Has the patient lost ≥3 kg in the past 4 months?
4 Has the patient had fever for ≥3 weeks?
5 Has the patient had recent contact with another person with
active TB?
If ‘yes’ to question 1: the patient is a TB suspect, perform sputum
collection for AFB smear and continue evaluation for TB per the
PNILT diagnostic algorithm for pulmonary TB
If ‘no’ to question 1 but ‘yes’ to any other question: the patient is
a TB suspect; continue evaluation for TB guided by clinical signs
and symptoms. Refer to national reference hospital if necessary.
If ‘no’ to all the questions: the patient is not a TB suspect at this
time; stop investigations for TB and repeat screening with
questionnaire every 3–6 months.

TB = tuberculosis; AFB = acid-fast bacilli; PNILT = Programme National Intégré de Lutte contre la Lèpre et la Tuberculose.