strong

Pregnant women with active TB and moderate
undernutrition, or with inadequate weight gain,
should be provided with locally available nutrient-rich or fortified supplementary foods, as necessary to
achieve an average weekly minimum weight gain of
approximately 300 g in the second and third trimesters.

Children who are less than 5 years of age with active
TB and moderate undernutrition should be managed
as any other children with moderate undernutrition.
This includes provision of locally available nutrient-rich or fortified supplementary foods, in order to
restore appropriate weight-for-height.

Children who are less than 5 years of age with active
TB and severe acute malnutrition should be treated
in accordance with the WHO recommendations for
the management of severe acute malnutrition in
children who are less than 5 years of age.

Sschool-age children and adolescents (5 to 19 years),
and adults, including pregnant and lactating women,
with active TB and severe acute malnutrition should
be treated in accordance with the WHO
recommendations for management of severe acute
malnutrition.

For pregnant women with active TB in settings where
calcium intake is low, calcium supplementation
as part of antenatal care is recommended for
the prevention of pre-eclampsia, particularly
among those pregnant women at higher risk of
developing hypertension, in accordance with WHO
recommendations.

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

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

Household contacts and other close contacts should be
systematically screened for active TB.

The Expert Group recommended that the Genotype MTBDRsl assay cannot be used as a replacement
test for conventional phenotypic DST.

Children living with HIV who do not have poor weight gain, fever or current cough are unlikely to
have active TB.