Screening

7. In settings where the TB prevalence in the general population is 100/100 000 population or higher, systematic screening for TB disease may be conducted among people with a risk factor for TB who are either seeking health care or who are already in care

(existing recommendation: conditional recommendation, very low certainty of evidence).

8. People with an untreated fibrotic lesion seen on chest X-ray may be systematically screened for TB disease

6. Current and former workers in workplaces with silica exposure should be systematically screened for TB disease

(existing recommendation: strong recommendation, low certainty of evidence).

5. Systematic screening for TB disease should be conducted in prisons and penitentiary institutions

(updated recommendation: strong recommendation, very low certainty of evidence).

4. Household contacts and other close contacts of individuals with TB disease should be systematically screened for TB disease

(updated recommendation: strong recommendation, moderate certainty of evidence).

3. People living with HIV should be systematically screened for TB disease at each visit to a health facility

(existing recommendation: strong recommendation, very low certainty of evidence).

2. Systematic screening for TB disease may be conducted among subpopulations with structural risk factors for TB. These include urban poor communities, homeless communities, communities in remote or isolated areas, indigenous populations, migrants, refugees, internally displaced persons and other vulnerable or marginalized groups with limited access to health care

(existing recommendation: conditional recommendation, very low certainty of evidence).

1. Systematic screening for TB disease may be conducted among the general population in areas with an estimated TB prevalence of 0.5% or higher

(updated recommendation: conditional recommendation, low certainty of evidence).