CT notification | • Notifying country |
• Month of notification | |
• Year of notification | |
Index case | General characteristics: |
• Age | |
• Sex | |
• Nationality | |
Clinical characteristics: | |
• TB diagnosis (type of TB, site of disease) | |
• Smear microscopy (positive, negative) | |
• Culture (positive, negative, pending) | |
• PCR (positive, negative, pending) | |
• Chest X-ray (positive, negative, cavitary lesions) | |
• Presence of drug susceptibility testing result (yes/no) | |
• Drug resistance profile (Ha-resistant), (Ra-resistant), (Sa-resistant), MDR-TBb, XDR-TBc | |
• Infectiousness during contact (yes/no) | |
• Information on symptoms during contact (yes/no) | |
• Information on transmission to close contacts (yes/no) | |
Exposure | • Responsible local health authority in Germany |
• Federal state of responsible local health authority | |
• Type of contact (flight contact, private contact, work contact, school/education-related contact, ship contact) | |
• Time between exposure and diagnosis (< 3 months, > 3 months) | |
• Duration of contact (< 8 h, > 8 h, < 40 h, > 40 h) | |
• Departure cityd | |
• Departure countryd | |
• Arrival cityd | |
• Arrival countryd | |
• Contact person seated within two rows of index case (yes/no)d | |
Contact person(s) | • Information on name (yes/no) |
• Information on passport number (yes/no) | |
• Information on address (yes/no) | |
• Information on telephone number (yes/no) | |
• Information on email address (yes/no) | |
• Child (yes/no) |