Prompt initiation of effective treatment of
people with TB disease is recommended
to reduce M. tuberculosis transmission to
health workers, persons attending health care
settings or other persons in settings with a
high risk of transmission.

Respiratory separation / isolation of people
with presumed or demonstrated infectious TB
is recommended to reduce M. tuberculosis
transmission to health workers or other
persons attending health care facilities.

The panel recommends that materials and equipment to perform appropriate hand hygiene
should be readily available at the point of care.

The panel recommends that the following elements should be adhered to in order to reduce
the risk of HAIs and the spread of AMR: bed occupancy should not exceed the standard
capacity of the facility; and healthcare worker staffing levels should be adequately assigned
according to patient workload.

National level: The panel recommends that a national IPC monitoring and evaluation programme should be
established to assess the extent to which standards are being met and activities are being
performed, according to the programme’s goals and objectives. Hand hygiene monitoring
with feedback should be considered as a key performance indicator at the national level.

Healthcare facility level: The panel recommends that regular monitoring/audit and timely feedback of healthcare practices,
according to IPC standards, should be performed to prevent and control HAIs and AMR at the
healthcare facility level. Feedback should be provided to all audited persons and relevant staff.

National level: The panel recommends that national IPC programmes should coordinate and facilitate the
implementation of IPC activities through multimodal strategies on a nationwide or subnational level.

Health care facility level: The panel recommends that IPC activities using multimodal strategies should be
implemented to improve practices and reduce HAIs and AMR.

National level: The panel recommends that national HAI surveillance programmes and networks that include
mechanisms for timely data feedback, with the potential to be used for benchmarking
purposes, should be established to reduce HAIs and AMR.

Health care facility level: The panel recommends that facility-based HAI surveillance should be performed to guide IPC
interventions and detect outbreaks, including AMR. Surveillance with timely feedback of results to healthcare workers and stakeholders is essential and should be carried out through national networks.