TB Guidelines

We try to keep this page up-to-date with guidelines from many countries. If you notice ommissions or errors, please tell us. We have classified the guidelines into several categories, but this division is sometimes arbitrary. For example, treatment of latent TB could be classified under both treatment and prevention guidelines. We have placed them under treatment guidelines. But if the document emphasises case-finding as well as IPT, then we place it under prevention.

In each section, World Health Organisation guidelines are listed first, followed by countries and/or other organisations in alphabetical order. Within each country, latest guidelines are listed first.

Contents

• Adult Treatment Guidelines
• Paediatric Treatment Guidelines
• Prevention Guidelines
• Diagnostic Guidelines
• Surveillance Monitoring and Evaluation Guidelines
• TB/HIV Integration Guidelines

Adult Treatment Guidelines

World Health Organisation

• Guidelines for the Programmatic Management of Drug-Resistant Tuberculosis: 2011 update (2011)
• Treatment of Tuberculosis: Guidelines for National Programmes (2010)
• Management of MDR-TB: A field guide (2009)
• WHO/The Union Monograph on TB and Tobacco Control (2008)
• Tuberculosis Care and Control in Refugee and Displaced Populations: An Interagency Field Manual (2007)
• A Guide for Tuberculosis Treatment Supporters (2002)
• An Extended DOTS framework for Tuberculosis (2002)

Botswana

• Botswana TB/HIV Policy Guidelines (2011)

Canada

• Tuberculosis: Information for Health Care Providers (2009)
• Canadian Tuberculosis Standards (2007)

Europe

Ghana

• Guideline for the Clinical Management of TB and HIV Co-infection in Ghana (2007)

India

• Revised National Tuberculosis Control Programme DOTS-Plus Guidelines (2010)

International Union Against Tuberculosis and Lung Disease

• Management of Tuberculosis: A Guide to the Essentials of Good Practice (2010)
• Best Practice for the Care of Patients with Tuberculosis: A Guide for Low-Income Countries (2007)
• Priorities for Bacteriology Services in Low-Income Countries (2007)
• International Strategy for Tuberculosis Care (2006)
• A Tuberculosis Guide for Specialist Physicians (2004)
• Guide for the Procurement of Anti-Tuberculosis Drugs (2001)

Kenya

• Guidelines on management of Leprosy and Tuberculosis in Kenya (2009)

South Africa

• Guidelines for Management of Drug-Resistant Tuberculosis in South Africa (2010)
• National Tuberculosis Management Guidelines (2009)

Swaziland

• Drug Resistant Tuberculosis Management Guidelines (2008)

United States

• Plan to Combat Extensively Drug-Resistance Tuberculosis: Recommendations of the Federal Task Force (2009)
• Managing TB Medicines at the Primary Level (2008)
• Managing Pharmaceuticals and Commodities: A Guide for National Tuberculosis Programs (2008)
• Treatment of the Patient with TB: Guidelines for Collaborting with Community Physicians (2003)
• Guidelines on Targeted Tuberculosis Testing and Treatment of Latent Tuberculosis Infection (2002)
• Guidelines on the Treatment of Tuberculosis (2002)
• Guidelines on the Management of Adverse Drug Effects of Antimycobacterial Agents (1998)
• Enforcement Procedures and Scheduling for Occupational Exposure to Tuberculosis (1996)

Paediatric Treatment Guidelines

World Health Organisation

• Guidance for national tuberculosis and HIV programmes on the management of tuberculosis in HIV-infected children: Recommendations for a public health approach (2010)
• Rapid Advice: Treatment of Tuberculosis in Children (2010)
• Guidance for national tuberculosis programmes on the management of tuberculosis in children (2006)

International Union Against Tuberculosis and Lung Disease

• Desk-guide for diagnosis and management of TB in children (2010)

USA

• Management of Latent Tuberculosis in Children and Adolescents: A Handbook for the Primary Care Provider (2009)
• Pediatric Infectious Disease Referral Guidelines: Tuberculosis in Children (2009) 
• Guidelines for Initiating a School-Based Directly Observed Therapy Program (2002)

Prevention Guidelines

World Health Organisation

• The Global Plan to Stop TB (2011-2015)
• Guidelines for intensified tuberculosis case-finding and isoniazid preventive therapy for people living with HIV in resource-constrained settings (2011)
• Advocacy Strategy for Adoption and Dissemination on the Policy on TB Control in Health Care Facilities, Congregate Settings and Households (2010)
• Guidance on Ethics of Tuberculosis Prevention, Care and Control (2010)
• Natural Ventilation for Infection Control in Health-Care Settings (2009)
• Policy on TB Control in Health Care Facilities, Congregate Settings and Households (2009)
• Implementing the WHO Stop TB Strategy: Handbook for National TB Control Programmes (2008)
• Infection prevention and control of epidemic- and pandemic-prone acute respiratory diseases in health care — WHO interim guidelines (2007)
• Tuberculosis Infection Control in the Era of Expanding HIV Care and Treatment: Addendum to Guidelines for the Prevention of Tuberculosis in Health Care Facilities in Resource-limited Settings (2007)
• Guidelines for Workplace TB Control Activities (2003)
• Good Practice in Legislation and Regulations for TB Control: An Indicator of Political Will (2001)
• Guidelines for the Prevention of Tuberculosis in Health Care Facilities in Resource-limited Settings (1999)

Austraila

• Management, Control and Prevention of Tuberculosis Guidelines for Health Care Providers (2002-2005)
• National Strategic Plan for TB Control in Australia (2004)

Canada

• Environmental Control Best Practices: Guidelines to Reduce TB Transmission in Homeless Shelters and Drop-In Centres (2007)
• Guidelines for Preventing the Transmission of Tuberculosis in Canadian Health Care Facilities and Other Institutional Settings (1996)

European Union

• Framework Action Plan to fight tuberculosis in European Union (2008)
• European framework to decrease the burden of TB/HIV (2003)

Ghana

• The National Tuberculosis Health Sector Strategic Plan for Ghana (2009-2013)

India

• Technical and Operational Guidelines for Tuberculosis Control (2005)

International Union Against Tuberculosis and Lung Disease

• Interventions for Tuberculosis Control and Elimination (2002)

New Zealand

• Guidelines for Tuberculosis Control in New Zealand (2003)

South Africa

• Guidelines for Tuberculosis Preventative Therapy among HIV individuals of South Africa (2010)
• Tuberculosis Strategic Plan for South Africa (2007-2011)
• The South African National Infection Prevention and Control Policy for TB, MDRTB and XDRTB (2007)

United Kingdom

• Stopping Tuberculosis in England: An Action Plan (2004)

United States

• Latent Tuberculosis Infection: A Guide for Primary Health Care Providers (2010)
• Environmental Controls for Tuberculosis : Basic Upper-Room Ultraviolet Germicidal Irradiation Guidelines for Healthcare Settings (2009)
• MOST for TB: Management and Organizational Sustainability Tool for National TB Control Programs (2009)
• Prevention and Control of Tuberculosis in Correctional and Detention Facilities: Recommendations from CDC (2006)
• Guidelines on Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings (2005)
• Guidelines on Environmental Infection Control in Healthcare Facilities (2003)
• General Recommendations on Immunization (2002)
• Tuberculosis in the Workplace (2001)

Diagnostic Guidelines

European Union

• Use of interferon-gamma release assays in support of TB diagnosis (2011)

International Union Against Tuberculosis and Lung Disease

• Technical Guide: Sputum Examination for Tuberculosis by Direct Microscopy in Low-Income Countries (2000)

United States

• Updated Guidelines for Using Interferon Gamma Release Assays to Detect Mycobacterium tuberculosis Infection in United States (2010)
• Updated Guidelines for the Use of Nucleic Acid Ampflication Test in the Diagnosis of Tuberculosis (2009)

Surveillance and Monitoring and Evaluation Guidelines

WHO

• A Guide to Monitoring and Evaluation for Collaborative TB/HIV Activities (2009)
• Guidelines for Surveillance of Drug Resistance in Tuberculosis (2009)

Canada

• Guidelines for the Investigation and Follow-up of Individuals Under Medical Surveillance for Tuberculosis After Arriving in Canada (2003)

European Union

• Review of the National Tuberculosis Programme in Ukraine (2010)
• Surveillance of Communicable Diseases in European Union: Long Term Strategy (2008)

Global Fund

• Monitoring and Evaluation Toolkit: HIV, TB and Malaria and Health Systems Strenghtening (2009)

United States

• Pharmaceutical Management for Tuberculosis (PMTB) Assessment Manual (2000)

TB/HIV integration guidelines

Union Against Tuberculosis and Lung Disease

• Implementing Collaborative TB-HIV Activities: a Programmatic Guide (2012)

WHO

• Policy Guidelines for Collaborative TB and HIV Services for Injecting and Other Drug Users (2008)
• Guidelines for Implementing Collaborative TB and HIV Programme Activities (2003)

Canada

• Recommendations for the Screening and Prevention of TB in Patients with HIV and the Screening for HIV in TB Patients and thier Contacts (2002)

Ghana

• Implementation of HIV/TB Collaborative Activities for Ghana: Technical Policy and Guidelines (2007)

India

• National Framework For Joint HIV/TB Collaborative Activities (2009)

Kenya

• Guidelines for Implementing  TB-HIV Collaborative Activities in Kenya: What health workers need to know (2006)

Swaziland

• National Policy Guidelines for HIV/TB Collaborative Activities (2007)

United States

• Guidelines on Managing Drug Interactions in the Treatment of HIV-Related Tuberculosis (2007)