HIV/AIDS

Box 8.1: Summary of recommendations for key actions for infection control (3)

Consolidated ARV guidelines, June 2013

Administrative (facility-level infection control committee and protocols)

  • A triage system to identify people suspected of having TB
  • Separate people with suspected or confirmed TB
  • Cough etiquette and respiratory hygiene
  • Rapid diagnosis with Xpert MTB/RIF (with prompt treatment of active TB) (strong recommendation, low-quality evidence).

Health workers and carers

  • Surveillance and information
  • Package of care for HIV-positive workers (ART and isoniazid preventive therapy)
  • Protective equipment (particulate respirator masks that meet or exceed N95 standards)
  • Relocation for health care workers living with HIV to a lower-risk area (strong recommendation, high-quality evidence).

Environmental

  • Ventilation (mechanical)
  • Ventilation (natural)
  • Upper-room ultraviolet germicidal irradiation (strong recommendation, low-quality evidence).

Personal

  • Spend as much time as possible outside
  • Cough etiquette
  • Sleep alone while smear-positive
  • Avoid congregate settings and public transport while smear-positive (strong recommendation, low-quality evidence).
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