For good control of TB there should be
- recognition that TB is a potential diagnosis;
- prompt confirmation of diagnosis;
- no delay in starting treatment;
- an appropriate drug regimen;
- supervised therapy;
- early consideration of drug resistance in nonrespondingpatients.
Hospital care of patients with potential or known TB requires:
- appropriate isolation of patients;
- risk assessment for drug resistance;
- adequate negative pressure rooms which are properlymonitored ;
- aerosol-generating procedures (bronchoscopy, sputum induction or nebulizer treatment) should only take place in negative pressure rooms;
- consider all patients potentially infectious until proven otherwise;
- no mixing of HIV-infected or other immunosuppressed patients with TB patients;
- hospital TB control plan based on risk assessment;
- adequate protection of healthcare workers and other contacts.