Skin testing (PPD) for tuberculosis (TB) is available at the public health department on Monday, Tuesday, Wednesday, and Friday (with the exception of holidays) between Noon and 4:30 pm. Patients receiving a TB test must return to the public health department within 48-72 hours to have the test results checked.
Cost for a TB test is currently $19 (subject to change). Medicaid can be billed for the cost of the test, otherwise the fee is due at the time of service. For more information on TB testing, please call the Immunization program at (231) 724-1220.
Special Note: October 4, 2013
There is a nationwide shortage of the products used for TB skin testing. In order to ensure the health of our community, we have instituted CDC guidelines for response during a shortage.
- Prioritize supplies for evaluating the following persons:
- Those individuals with suspected active TB disease
- TB contact investigations
- Newly-arrived refugees
- Individuals at high risk of being exposed to TB or of progressing from TB infection to disease
- Defer skin testing for persons at low risk:
- Those individuals who have no risk factors for TB
- Those individuals who have a documented previous history of a positive skin test or TB disease
- Clients seeking a TB skin test for school or employment
- Continue to assure that persons with symptoms of active TB disease receive immediate medical attention.
- Work with our community partners to disseminate information and coordinate detection and treatment for those at highest risk.
For those needing documentation for school, employer, etc. that the testing is deferred at this time, updated written notices are available from the Immunization program. Questions related to testing needs in regards to the shortage can be directed to the TB nurse at (231) 724-4421.
What if I have a positive TB test?
All positive TB tests are reported to the TB Nurse. The nurse contacts and follows up with each client to provide education, answer questions, and recommend ongoing direction based on their individual needs and circumstances.
Tuberculin Skin Testing (TST) Workshops for Health Care Workers
A general knowledge of tuberculosis and the accurate administration and interpretation is of utmost importance for the health care worker involved in this situation. Consistent standards yield the most accurate use of the testing and resultant client care needs. All HCW’s involved in giving and reading TB skin tests are HIGHLY recommended to participate in this CDC/MDCH sponsored workshop. Successful completion will certify the recipient for two years. We no longer hold condensed classes for recertification. There is no charge for this class. No Continuing Education Credits are available for participation.
Upcoming Workshop Schedule
January 14, 2014
April 15, 2014
July 15, 2014
October 14, 2014
8:30 am - 12:30 pm
133 E. Apple Ave, Muskegon, MI 49442 – Building B, Training Center, Room 202
Call (231) 724-4421
Special Note: Information about TST workshops in other locations can be found at www.michigantb.org. Not all classes are free of charge.
Tuberculosis (TB) Clinic
Is available for persons deciding to proceed with preventative treatment for Latent TB Infection-LTBI (see general information section) and persons who must receive treatment for Active TB Disease (general information section).
The clinic is under the direction of a Pulmonary Specialist MD and a TB Nurse. Services include; physician consultation, TB medications, necessary lab work and additional specimens and tests as needed. The client is assessed and monitored closely throughout their care. Generally, treatment length requires 9-6 months of daily medication.
General Tuberculosis (TB) Information
TB is a disease caused by bacteria. The bacteria can attack any part of the body, but usually attacks the lungs. TB is spread only by inhaling the bacteria from the air when an infected person coughs, sneezes, laughs and sings. Infection from inhaling these TB germs generally occurs with prolonged or frequent exposure.
The following scenarios may be helpful for your understanding:
Exposure → Active TB Disease
A small number of people who are exposed to TB germs cannot fight them and they do multiply and cause active TB disease.
Exposure → Latent TB Infection
Most people who are exposed to TB germs keep them from multiplying because of their immune system’s protection. These germs stay “dormant, sleeping or latent,” protected by immune cells.
Latent TB Infection → Active TB Disease
Some people with “latent, sleeping” germs may later develop Active TB Disease when their immune system is lowered for some reason and the germs escape from the protecting immune cells and multiply.
Latent TB Infection vs. Active TB Disease
Medicine treatment for Latent TB Infection significantly lowers the possibility of it turning into Active TB Disease. Medicine treatment for Active TB Disease can cure the affected person of TB.
Latent TB Infection
Active TB Disease
- Have no symptoms
- Do not feel sick
- Cannot spread TB to others
- Usually have a positive skin test
- Chest x-ray and sputum tests normal
- Symptoms include:
- a bad cough that lasts longer than 2 weeks
- pain in the chest
- coughing up blood or sputum
- weakness or fatigue
- weight loss
- no appetite
- sweating at night
- May spread TB to others
- Usually have a positive skin test
- May have abnormal chest x-ray, and/or positive sputum smear or culture
Who is at an increased risk for developing TB disease?
- A recent or known contact to someone with active TB
- Exposed babies or young children <5
- Taking medications that suppress the immune system (steroids, TNF inhibitors)
- HIV infection
- Substance abuse
- Kidney disease
- Silicosis from foundry or mine work
- Cancers, chemotherapy
- Organ transplants
- Recent immigrant from a high TB incidence country
- GI bypass surgeries
- Low body weight
For more information, call (231) 724-4421.