Tuberculosis classification


Tuberculosis classification system

The current clinical classification system for tuberculosis is based on the pathogenesis of the disease.
Health care providers should comply with local laws and regulations requiring the reporting of TB. All persons with class 3 or class 5 TB should be reported promptly to the local health department. See list of notifiable diseases.
ClassTypeDescription
0No TB exposure
Not infected
No history of exposure
Negative reaction to tuberculin skin test
1TB exposure
No evidence of infection
History of exposure
Negative reaction to tuberculin skin test
2TB infection
No disease
Positive reaction to tuberculin skin test
Negative bacteriologic studies
No clinical, bacteriologic, or radiographic evidence of TB
3TB, clinically activeM. tuberculosis cultured
Clinical, bacteriologic, or radiographic evidence of current disease
4TB
Not clinically active
History of episode of TB
or
Abnormal but stable radiographic findings
Positive reaction to the tuberculin skin test
Negative bacteriologic studies
and
No clinical or radiographic evidence of current disease
5TB suspectDiagnosis pending
TB disease should be ruled in or out within 3 months

CDC TB classification for immigrants and refugees

The U.S. Citizenship and Immigration Services has an additional TB classification for immigrants and refugees developed by the Centers for Disease Control and Prevention. The B notification program is an important screening strategy to identify new arrivals who have a high risk for TB.
Class
No TB Classification
Class A TB with waiver, infectious
Class B1 TB, Pulmonary
Class B1 TB, Extrapulmonary
Class B2 TB Latent TB Infection Evaluation
Class B3 TB, Contact Evaluation