Discussion Brief
Especially relevant to community-based tuberculosis programs with patients in with single-room homes, this discussion covers a range of interventions to reduce risk of transmission between start of treatment and sputum culture conversion and highlights the need for new approaches for MDR and XDR cases in cold climate areas where home ventilation is very difficult (because of heat loss).
A number of common sense approaches have been advocated, although like most infection control interventions, high-level proof of efficacy is generally lacking.
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