Summary of Recommendations

Document Overview

Design and created by Guideline Central in participation with the National Tuberculosis Coalition of America.

Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings

National Tuberculosis Coalition of America

Publication Date: Apr 18, 2024

Page Last Updated: Feb 11, 2026

Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-Based Recommendations

Implications for:	Strong Recommendation (S)	Conditional Recommendation (C)
Patients	Most individuals in this situation would want the recommended course of action, and only a small proportion would not.	The majority of individuals in this situation would want the suggested course of action, but many would not.
Clinicians	Most individuals should receive the intervention. Adherence to this recommendation according to the guideline could be used as a quality criterion or performance indicator. Formal decision aids are not likely to be needed to help individuals make decisions consistent with their values and preferences.	Recognize that different choices will be appropriate for individual patients and that you must help each patient arrive at a management decision consistent with his or her values and preferences. Decision aids may be useful in helping individuals to make decisions consistent with their values and preferences.
Policy	The recommendation can be adopted as policy in most situations.	Policymaking will require substantial debate and involvement of various stakeholders.

Certainty in the Evidence
High	H	Low	L
Moderate	M	Very Low	VL

Source: Grading of Recommendations Assessment, Development and Evaluation Working Group (Schunemann HJ et al. Am J Respir Crit Care Med. 2006;174:605-14. Guyatt GH et al. BMJ 2008;336:924-6).

Document Overview

Document Title: Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings

Authoring Society: National Tuberculosis Coalition of America

Document Publication Date: Apr 18, 2024

Page Last Reviewed/Updated: Feb 11, 2026

Document Type: Guideline

Country of Publication: United States

Full Text Freely Available: Yes

Full Text Guideline: academic.oup.com/cid/advance-article/doi/10.1093/cid/ciae199/7649400

Source Citation: Shah M, Dansky Z, Nathavitharana R, Behm H, Brown S, Dov L, Fortune D, Gadon NL, Gardner Toren K, Graves S, Haley CA, Kates O, Sabuwala N, Wegener D, Yoo K, Burzynski J. NTCA Guidelines for Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings. Clin Infect Dis. 2024 Apr 18:ciae199. doi: 10.1093/cid/ciae199. Epub ahead of print. PMID: 38632829.

Document Scope, Criteria, and Use Cases

Scope: Management, Prevention

Diseases/Conditions (MeSH)

D014376 - Tuberculosis

D014397 - Tuberculosis, Pulmonary

D010356 - Patient Isolation

D055819 - Hospitals, Isolation

Keywords: Isolation Precautions, TB, isolation, pulmonary tuberculosis, tuberculosis

Health Care Settings: Correctional Facility, Emergency Care, Hospital, Long Term Care, Operating and Recovery Room

Intended Users: Nurse, Nurse Practitioner, Physician, Physician Assistant, Respiratory Therapist

Recommendation Development Processes & Methodology

Number of Source Documents: 159

Includes peer/external review process?: Yes

Includes public comment process?: No

Methodologist involvement?: Yes

Patient involvement?: No

Includes multi-disciplinary group?: Yes

Includes systematic review?: Yes

Grades quality of strength of evidence?: Yes

Grades quality of strength of recommendation?: Yes

Discloses funding source?: Yes

Discloses conflicts of interest?: No

Includes benefits/harms analysis with recommendations?: Yes

Respiratory Isolation and Restrictions to Reduce Transmission of Pulmonary Tuberculosis in Community Settings

Summary of Recommendations

Recommendation 1.1

Recommendation 2.1

Recommendation 3.1

Recommendation 3.2

Recommendation 3.3

Recommendation 3.4

Recommendation 4.1

Recommendation 4.2

Recommendation 4.3

Recommendation 5.1

Recommendation 5.2

Recommendation 5.3

Grading of Recommendations, Assessment, Development, and Evaluation (GRADE)-Based Recommendations

Document Overview

Document Scope, Criteria, and Use Cases

Recommendation Development Processes & Methodology