Policy on TB Evaluation
In accordance with Kansas Department of Health and Environment regulations, (page 238), all students entering the University of Kansas Medical Center (KUMC), are required to be screened for latent tuberculosis infection (LTBI) in the US or Canada. Acceptable screening options include:
- Documentation of two TB skin tests (PPD) administered and interpreted within the past 12 months prior to enrollment. The most recent PPD test should be within 3 months prior to enrollment. For those students who cannot provide evidence of two PPD tests within 12 months of enrollment, placement of two consecutive PPD tests within 1-3 weeks of each other is required.
- Interferon-Gamma Release Assays (IGRAs). QuantiFERON®-TB Gold In-Tube test (QFT-GIT) and T-SPOT®.TB test (T-Spot) are acceptable options.
Any student with positive screening results is treated according to protocols consistent with current CDC guidelines and will be required to obtain a chest x-ray. Any student with a positive screening is required to meet with a KUMC Student Health provider to discuss our protocol and prophylaxis. In the event that a student with Latent Tuberculosis Infection (LTBI) refuses treatment, Student Health Services will document the refusal and obtain the student's signature on a waiver form. On an annual basis, any student who has had a positive screening must complete a Student Health TB questionnaire.
Any student who has had a positive PPD, has been immunized with BCG, has health issues that would affect the accuracy of a PPD, or is from a country that is on the World Health Organization (WHO) endemic country list, is required to complete an IGRA.
All KUMC students are required to be screened for TB annually. If a student is delinquent on his or her annual TB skin test, a hold may be placed on his or her account. Any student who has had a positive screening must complete a Student Health TB questionnaire after completing the initial follow up as listed above.
Any PPD administered by KUMC Student Health must be read by a KUMC Student Health employee. If not, the student must pay a fee of $20.00 to re-administer another PPD.
In the event that the student does not comply with any portion of the TB evaluation policy, the student will be deemed non-compliant and subject to disenrollment at KUMC.
NOTE: Any student who has previously or is currently being treated for LTBI must provide KUMC Student Health Services with appropriate documentation.