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Tuberculosis Screening and Treatment Technical Instructions (TB TIs) using Cultures and Directly Observed Therapy (DOT) for Panel Physicians

Important Update: All Countries Required to Use CDOT TB TIs as of October 1, 2013

As of October 1, 2013, panel physicians in all countries must be using the complete Cultures and Directly Observed Therapy (DOT) Tuberculosis Technical Instructions (CDOT TB TIs).

Please note: On January 8, 2013, the Cultures and DOT TB TIs were modified to reflect the current web link for the TB treatment guidelines. For reference, please see pages 13, 14, and 28 of the CDOT TB TIs.

Tuberculosis Technical Instructions [PDF – 40 pages]

Tuberculosis Medical Consultation Service for Panel Physicians

The Regional Training and Medical Consultation Centers (RTMCCs), in partnership with IRMH’s Quality Assessment Program and supported by CDC’s Division of Tuberculosis Elimination (DTBE), are now providing an online Medical Consultation Service for U.S. Panel Physicians who are currently using the Culture and DOT Technical Instructions for Tuberculosis Screening and Treatment. This service is intended to be used by panel physicians who need expert consultations on unique or difficult clinical situations encountered while treating applicants for US immigration who have tuberculosis disease. To request a consultation, please complete and submit the online Consultation Request Form:

IMPORTANT NOTE – This service is exclusive to United States Panel Physicians and their direct staff. If you are not a panel physician and have a TB-related question, please send your inquiry to cdcinfo@cdc.gov.

Additional Materials

View the Historical Implementation of the Cultures and Directly Observed Therapy (DOT) Tuberculosis Technical Instructions

View Table that provides dates for when panel physicians began screening according to the Cultures and Directly Observed Therapy (DOT) Tuberculosis Technical Instructions

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