Treatment may be needed when the very low amount of positive TB test is weakly positive for sputum, and treatment may not be needed when the very low amount of positive TB test is weakly positive for tuberculosis test. There are two general types of very low positive TB test volume, a weak positive sputum bacillus and a weak positive TB test. In the case of a weakly positive sputum bacillus, a chest X-ray is needed to determine if there are any lesions on the chest X-ray, and when typical tuberculosis lesions are present, anti-tuberculosis treatment is needed. If it is a weakly positive tuberculosis test, not supported by chest radiograph imaging, and the patient’s body does not show specific clinical symptoms of tuberculosis, but only indicates that it was once infected with Mycobacterium tuberculosis, then no treatment is needed in this case. Whether a very low positive test for tuberculosis requires treatment should be decided by a doctor, and it is recommended that a very low positive test for tuberculosis should be promptly consulted in a regular hospital.