The vast majority of patients with tuberculosis are treated initially as outpatients. Emergency physicians should contact physicians or public health services providing long-term care prior to discharge. Discharge instructions include home isolation procedures and sites of medication (if DOT is used) and ongoing care. Antituberculosis medications should be instituted by health care professionals who will coordinate the treatment and monitor adverse effects of the medication. Such medications should not be routinely instituted in the emergency department without these measures.
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