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A low-resource tracking workflow improves documentation and localizes the latent tuberculosis infection care gap in
Anu K Murthy1,2, Richard A Goodman1, Miranda A Moore1
1Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Objective:
To assess a low-resource tracking workflow for improved documentation of latent tuberculosis infection (LTBI) treatment status and describe identified follow-up gaps in a Student Health clinic.
Participants:
Students with confirmed LTBI before (2018-2023; n = 82) and after (2024-2025; n = 147) implementation.
Methods:
Retrospective before-after chart review. In 2024, the clinic added a tracking spreadsheet, nurse-initiated follow-up offering tuberculosis preventive treatment (TPT), 1-month dispensing, and standardized documentation. Outcomes were summarized descriptively.
Results:
Among students prescribed TPT at Student Health, documented completion rose from 45.8 to 71.4% and known status from 58.3 to 89.3%; documented completion among students managed outside Student Health rose from 23.1 to 56.1%. Undocumented final status was essentially unchanged (35.4-34.0%), but 46/50 (92%) unresolved post-intervention cases had no response after two messages.
Conclusions:
The workflow improved documentation among engaged students and identified nonresponse after TPT was offered as the main actionable gap.
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