Table 1. Activities to reduce the transmission of TB15.
Scope of infection controls | Activity |
---|---|
Facility level | |
Managerial activities | Identify and strengthen a coordinating body for TB infection control: political commitment and leadership arrangement develop a facility plan (budget, human resources, spaces, policies, and procedures) |
On-site surveillance of TB; address advocacy, communication, and social mobilization (ACSM); monitoring and evaluation; research | |
Administrative controls | Identification (triage) and separation of TB suspects |
Minimizing the time spent in facilities | |
Package of prevention and care interventions | |
Environmental controls | Reducing the concentration of infectious respiratory aerosols |
Controlling the direction of infectious air | |
Personal protective equipment | Particulate respirators |
Congregate settings | |
Managerial activities | Coordinating system for planning and interventions |
Overcrowding should be avoided | |
Education and communication material for a specific focus | |
Administrative controls | All inhabitants of long-term facilities should be screened for TB before entry into the facility |
Referral system for proper management of TB patients in short-term stay such as in jails and shelters | |
Environmental controls | Regulations for ventilation in public buildings |
UVGI could be considered | |
Personal protective equipment | The same recommendations on infection control apply as for health-care facilities |
Appropriate referral organization in short-term stay settings | |
Households | |
Managerial activities | |
Administrative controls | Early case detection is most important |
Environmental controls | Natural ventilation may be sufficient |
Personal protective equipment | Health-care providers should wear particulate respirators when attending MDR-TB patients in enclosed spaces |
TB: tuberculosis; UVGI: ultraviolet germicidal irradiation; MDR: multi-drug resistant.