Latent tuberculosis infection (LTBI) is an asymptomatic condition that may progress to active tuberculosis (TB), sometimes decades after exposure. Most people with active TB in Australia have not had recent contact and have been unaware of their risk.

Looking at x-ray of lungs

This page has information about managing LTBI in general practice settings and also managing LTBI in community settings.

People being tested or treated for LTBI should read Tuberculosis information for patients.

Managing LTBI in general practice settings

Since 2018, the Victorian Tuberculosis Program and South Eastern Melbourne Primary Health Network (SEMPHN) have collaborated in implementing“Tuberculosis screening, management and prevention in General Practice” in the local government areas of Casey and Greater Dandenong.

The project has piloted a model for LTBI management which can be effectively used in GP settings. People tested for LTBI under this project were found to have high rates of LTBI, and successful treatment completion without referral to tertiary care centres. A summary of these pilot findings can be downloaded here.

In 2021-2023, this program has been expanded to include additional GP clinics across the SEMPHN region. This expanded program has drawn on the findings from the pilot project in continuing to overcome barriers to ensure safe and effective community access to LTBI diagnosis and treatment.

Participating GP clinics

Clinics participating in this program are listed below. Management of latent tuberculosis, including testing and treatment where appropriate, is available through these clinics, with support provided by the Victorian Tuberculosis Program. Please contact clinics directly with referrals or requests for appointments.

Want to find out more?

If your practice is interested in participating in this program, please contact us at vtpadmin@mh.org.au, or phone (03) 9342 9478. Currently, enrolment is limited to practices within the SEMPHN region.

LTBI community of practices

Dandenong Superclinic

56-58 Stud Road
Dandenong, Vic 3175

Phone (03) 9791 5344

Modern Medical Dandenong

176 Lonsdale Street
Dandenong, Vic 3175

Phone: (03) 8763 8900

Dr Ian Roberts

525 Springvale Road
Springvale South, Vic 3172

Phone (03) 9548 1666

Berwick Healthcare

76 Clyde Road
Berwick, Vic 3806

Phone (03) 9796 1500

Mediclinic Clayton

25/14-26 Audsley Street
Clayton South VIC 3168

(03) 9544 1555

Keys Medical Centre
1/211-215 Chapel Road
Keysborough South Shopping Centre
Keysborough

(03) 8759 3807
info@keysmedicalcentre.com.au

Map of LTBI clinics

Management of LTBI in community settings

This series of videos have been created to help guide the safe and effective management of LTBI in the community, particularly through GP clinics.

What is latent tuberculosis, and why is it important in Australia? This video provides a short overview of TB and LTBI, including introducing an algorithm for general practice management. (7 minutes) https://www.youtube.com/watch?v=3ru7Aw3byRk[DJ3]

How to diagnosis latent tuberculosis infection

What diagnostic tests are available for LTBI in Australia, and how should you select and interpret tests? What is needed to exclude active TB?

Initiating treatment for latent tuberculosis

What treatment options exist for LTBI, and how do you decide what’s right? Who should be referred elsewhere rather than being managed in the GP setting? Includes case examples.

Follow up and monitoring your patient with latent tuberculosis

How often should you see someone after starting treatment, and what side effects will you monitor for? Includes support strategies for assisting with treatment adherence and completion, and dealing with issues that arise during treatment.

Next steps once LTBI treatment is finished

Includes communication and documentation, follow up testing and important patient messages.