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Classification:

Class I: TB exposure : (+) exposure toand adult/adolescent with activedisease, (-) PPD, no signs/symptoms,negative chest x ray findings

Class II: TB infection : +/- exposure, (+)PPD, no signs/symptoms, negativechest x ray findings

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Classification:

Class III: TB disease : 3 or more of theff criteria:

1. Exposure to an adult/adolescent withactive TB disease2. (+)PPD3. Signs/symptoms suggestive of TB4. Abnormal chest x ray findings5. Laboratory findings

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Classification:

Class IV: TB inactive :1. w/ or w/o history of previous TB2. w/ or w/o previous chemotherapy3. has radiographic evidence of healed/calcified TB4. (+)PPD5. no signs & symptoms6. (-) smear or culture for TB

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PPD interpretation:

Equal or >10 mm is (+)

Equal or >5 mm is (+) in the presence of any or all

of the ff:1. history of close contact with a known or suspectedcase of TB

2. clinical findings suggestive of TB3. chest X ray findings suggestive of TB4. immunocompromised condition

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Management:

INH 10 mg/kg/day (6 months) Rif 15 mg/kg/day (6 months)

PZA 25 mg/kg/day (2 months) Ethambutol 15-25 mg/kg/day (>6 y/o) Streptomycin 20-30 mg/kg/day