Evidence summary and rationale
The recommendations given below on TB-specific interventions are not envisioned as stand-alone measures; rather, they are components of a comprehensive hierarchy of controls, which in turn is a component of the overall framework of IPC practices, and depends on the adoption of a multimodal strategy. Thus, the adoption of several elements needs to be integrated. Typically, these elements would include system change (improving equipment availability and infrastructure at the point of care) to facilitate best practice; education and training of health workers and key stakeholders; monitoring of practices, processes and outcomes, and provision of timely feedback; improved communication; and culture change through fostering of a safety climate.
Each recommendation is followed by a summary of the evidence, a rationale for the recommendation and a set of implementation considerations.