Chest clinic

​The Chest Clinic is located at Gosford Hospital and provides screening, management, education and treatment for tuberculosis, known as TB.

 

The Clinic is open Monday to Friday from 8am to 4pm. TB screening is performed on Monday, Tuesday and Friday.

Who is eligible?

The services of the chest clinic are available to the following:

  • people with active tuberculosis disease or latent tuberculosis infection and those who need to be investigated for active or latent tuberculosis
  • anyone who has been in contact with tuberculosis
  • people who are preparing for a transplant or prior to commencing certain medications or before certain procedures
  • health workers
  • people going to or returning from high risk countries for extended periods.
External page link high risk countries (PDF)

Referrals

No referral is needed for TB screening and assessment by the nurse.

A referral from your GP or specialist doctor is required for TB specialist consultations. 

Tests performed

Tuberculin skin test

The tuberculin skin test (TST), also known as a Mantoux test, is used to assess whether a person has been infected with TB.

The test is performed in two parts and clients will need to attend both days for the test to be valid. On the first day a risk assessment is carried out followed by an injection of purified protein (this is not a live vaccine). The client returns 48 to 72 hours following the injection for assessment and the test to be finalised.

Screening days

TST is performed at Gosford Hospital on a Tuesday with the patient returning on the Friday for finalisation of the test or on a Friday with the patient returning on the Monday for finalisation of the test.

Chest x-rays

Following assessment by the nurse you will be provided with a chest x-ray request form. The chest x-ray can be performed at Gosford or Wyong hospitals. There is no charge for the x-ray.

Directly Observed Therapy (DOT)

DOT is used to help reduce the spread of TB and help you complete therapy as quickly as possible without any gaps. If medications are not taken on time or treatment is incomplete it can increase the risk of drug-resistance and impact on the effectiveness of treatment.

A TB nurse or a health professional coordinated by the TB service will provide your medication and observe the medication being taken, check for side effects, document your visit and answer any questions.

DOT is available five days per week in the clinic. If you are unable to attend the Chest Clinic the nurse will make alternative arrangements.

Services

Services include:

  • investigations for suspected cases of tuberculosis
  • management, care and treatment of active and latent tuberculosis
  • administration of TB treatment by directly observed therapy (DOT) 
  • management and supervision of TB treatment by TB specialist
  • management of all clients with latent TB including preventative therapy and annual chest x-ray follow up
  • Tuberculin skin testing to detect latent tuberculosis infection (LTBI)
  • contact screening and evaluation of people in close contact with infectious TB
  • chest x-rays for all clients who have a positive TST
  • send out appointments and monitoring of clients on annual chest x-ray follow up
  • x-ray and pathology services for TB related checks
  • medical consultation by TB specialist
  • health care worker occupational screening and follow
  • TB nursing assessment, education, screening of persons at risk of developing TB
  • TB education and counselling
  • screening, monitoring, education and follow up of persons on TB Health Undertaking
  • BCG vaccination for select 'at risk' group.  Assessment, TB screening and education to others not in the 'at-risk' group.

Getting here

The Chest Clinic is located in the Outpatient's Department of Gosford Hospital (Level 3 of the hospital).

Access is via the main entrance of the hospital only.

Please note that there is no longer access to Level 3 of the hospital via the Outpatients driveway and drop-off area. This has become part of the construction zone for our new hospital.  

If you park in the multistorey car park, take the car park lift to Level 5 and follow the signs to the main entrance. Walk through the main entrance to the lifts and go down to Level 3. Follow the signs to the Chest Clinic.

Alternatively, you can take the courtesy bus from Gosford Railway Station to Gosford Hospital. This free bus runs approximately every 15 minutes.

Internal page Courtesy Bus

Fees

There is no charge for investigations and treatment of active or latent TB, contact screening, staff screening, people preparing for a transplant or prior to commencing certain medications or for those people travelling to countries of high risk exposure.

A $50 fee is payable for students and occupational screening or anyone who does fit above criteria including healthcare workers from other health services.

Contact us

To make an appointment contact 4320 3388 on Mondays 8.30am to 3pm or Tuesdays and Fridays 8.30am to 4pm.

For calls outside of these hours you will need to leave a message and we will return your call.

For more information about TB contact the TB Coordinator on 4329 2094 or lily.dharmaraj@health.nsw.gov.au

Useful resources

External page link Tuberculosis NSW Health