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. 2016 Oct 5;79(4):201–206. doi: 10.4046/trd.2016.79.4.201

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.