Tuberculosis - Oral Health Care Considerations

Establish presence or absence of active disease.
Consider a patient as infectious if they have a positive sputum sample of for acid-fast bacilli and/or within the first 3 weeks of starting therapy for active TB.
Patients with 3 negative sputum samples collected within 24 hours is considered non-infectious.
Patients with active pulmonary or laryngeal disease: only perform emergency dental care. Avoid aerosol-generating procedures.
Patients with non-active pulmonary or laryngeal disease (history of TB or with a positive PPD but without signs and symptoms): no contraindications for dental care.
Refer patients with signs and symptoms of TB to a physician for evaluation.
Be aware of reduced efficacy of ketoconazole, fluconazole, diazepam, and glucocorticosteroids in patients taking rifampin.
⚠️ Avoid acetaminophen-containing medication for patients taking rifampin as this combination of medications may increase liver toxicity.
Medical Complexity Status - Tuberculosis#
Tuberculosis MCS1C
Anticipated
complication Controlled/
stable
Hemostasis None
Microbial
susceptibility None
Drugs/ drug
interactions Major
Stress/trauma None
See Medical Complexity Status for more information.

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