- Persistent, non-remitting cough for >2 weeks not responding to conventional antibiotics (amoxicillin, co-trimoxazole or cephalosporins) and/or bronchodilators
and/or
- Persistent documented fever (>38oC/100.4oF) for >2 weeks where common causes such as typhoid, malaria or pneumonia have been ruled out
and/or
- Documented weight loss or no weight gain during the past 3 months (especially if not responding to de-worming together with food and/or micronutrient supplementation) OR severe malnutrition
and/or
- Fatigue, reduced playfulness, decreased activity, irritability, refusal to feed etc.
Any one of the above symptom criteria in a child (<15 years) in close contact with a known bacteriologically confirmed TB or clinically confirmed TB should be regarded as presumptive TB case and referred to a physician for evaluation.