F1ANNEX

Annotations:

2.CASE DEFINITIONS OF COMMUNICABLE DISEASES

2.47.TUBERCULOSIS (Mycobacterium tuberculosis complex)

Clinical Criteria

Any person with the following two:

  • Signs, symptoms and/or radiological findings consistent with active tuberculosis in any site

AND

  • A clinician’s decision to treat the person with a full course of anti-tuberculosis therapy

OR

A case discovered post-mortem with pathological findings consistent with active tuberculosis that would have indicated anti-tuberculosis antibiotic treatment had the patient been diagnosed before dying

Laboratory Criteria

  • Laboratory criteria for case confirmation

    At least one of the following two:

    • Isolation of Mycobacterium tuberculosis complex (excluding Mycobacterium bovis-BCG) from a clinical specimen

    • Detection of Mycobacterium tuberculosis complex nucleic acid in a clinical specimen AND positive microscopy for acid-fast bacilli or equivalent fluorescent staining bacilli on light microscopy

  • Laboratory criteria for a probable case

    At least one of the following three:

    • Microscopy for acid-fast bacilli or equivalent fluorescent staining bacilli on light microscopy

    • Detection of Mycobacterium tuberculosis complex nucleic acid in a clinical specimen

    • Histological appearance of granulomata

Epidemiological Criteria NA

Case Classification

A.Possible case

Any person meeting the clinical criteria

B.Probable case

Any person meeting the clinical criteria and the laboratory criteria for a probable case

C.Confirmed case

Any person meeting the clinical and the laboratory criteria for case confirmation