Prevention of tuberculosis transmission in health care facilities is of extreme importance. Guidelines for prevention of transmission have been published and are available through the CDC. These recommendations include early detection and treatment of active cases, education and screening of health care workers, and engineering controls.13 Ambulatory care facilities that frequently see tuberculosis patients will need isolation rooms available. Personnel who work in emergency or ambulatory settings where patients with tuberculosis are treated should have routine PPD testing to detect occupational exposure and be offered preventative therapy if appropriate.1 14 Iab!.§.„„61:4 lists some controls that prevent transmission of disease.

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