IMPACT ON USAF TUBERCULOSIS DETECTION AND CONTROL PROGRAM GIVEN A LOWFACILITY TUBERCULOSIS PREVALENCE RATE

Isoniazid prophylaxis is a major part of the U.S. Air Force tuberculos is (TB) screening program and is closely tied to the efforts to elimin ate TB, If a facility has a low prevalence rate of TD and there is no sound epidemiological evidence to rule out a false-positive TB skin te st, a higher threshold for what constitutes a positive reaction in a g iven population may be appropriate, Criteria for preventive treatment in Air Force Instruction 48-115, para 3.4.2 and 3.4.5, should be expan ded to incorporate the positive-predictive rate of the tuberculin skin test as recommended by the Centers for Disease Control and Prevention .