Caring for Our Childen (CFOC)

Chapter 7: Infectious Diseases

7.3 Respiratory Tract Infections

7.3.10 Tuberculosis

7.3.10.2: Attendance of Children with Latent Tuberculosis Infection or Active Tuberculosis Disease


Children with active tuberculosis disease may attend group child care once effective therapy has been instituted, adherence to therapy has been documented, and clinical symptoms are absent. Local health officials or a primary care provider may recommend return to out-of-home child care once a child is considered non-infectious to others.

Children, adolescents, and adults with latent tuberculosis infection (LTBI) (reactive tuberculin skin test [TST] or a positive interferon-gamma release assay [IGRA] without evidence of active tuberculosis disease) may attend group child care. Appropriate therapy in consultation with a primary care provider is recommended to prevent progression to active tuberculosis disease (1).

RATIONALE
Efforts to prevent transmission of tuberculosis in child care should focus on permitting children with active tuberculosis disease to attend group child care only after the child is considered non-infectious to others. Children with latent tuberculosis are not infectious to others and may attend group child care but should receive appropriate therapy.
COMMENTS
For additional information regarding tuberculosis, consult the current edition of the Red Book from the American Academy of Pediatrics (AAP).
TYPE OF FACILITY
Center, Large Family Child Care Home
RELATED STANDARDS
3.6.1.1 Inclusion/Exclusion/Dismissal of Children
7.3.10.1 Measures for Detection, Control, and Reporting of Tuberculosis
REFERENCES
  1. American Academy of Pediatrics. Latent Tuberculosis Infection In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018 Report of the Committee on Infectious Diseases. 31st Edition. Itasca, IL:  American Academy of Pediatrics; 2018: 829-853, 108-109, 182, 831 , 832-835, 835t, 836t