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CONSENSUS GUIDELINES

The following guidelines, listed in reverse chronological order, discuss TB prevention, control, and screening. These guidelines and other current Morbidity and Mortality Weekly Reports can be viewed and ordered online through the CDC Division of Tuberculosis Elimination Web site at http://www.cdc.gov/nchstp/tb. U.S. guidelines can also be ordered by calling the CDC voice and fax information system at 888-232-3228, then pressing options 2, 5, 1, and 2.

Disclaimer: This information is made available as a public service. Neither the CDC nor the NPIN endorse the organizations and materials represented. It is the responsibility of the user to evaluate this information prior to use based on individual needs and community standards.

Tuberculosis elimination revisited: obstacles, opportunities, and renewed commitment. Morbidity and Mortality Weekly Report. 48(RR-9):1-13, August 13, 1999.
In this report, the Advisory Council for the Elimination of Tuberculosis reassesses its 1989 plan for the elimination of TB. It calls for sustained and enhanced TB control efforts; new and improved diagnostic, treatment, and prevention methods; and broad-based support for these efforts.

Prevention and treatment of tuberculosis among patients infected with human immunodeficiency virus: principles of therapy and revised recommendations. Morbidity and Mortality Weekly Report. 47(RR-20):1-58, October 30, 1998.
The guidelines in this report update CDC recommendations for the diagnosis, treatment, and prevention of TB among adults and children coinfected with HIV in the U.S.

Recommendations for prevention and control of tuberculosis among foreign-born persons: report of the working group on tuberculosis among foreign-born persons. Morbidity and Mortality Weekly Report-Recommendations and Reports. 47(RR-16), September 18, 1998.
This report provides the CDC recommendations for federal, state, and local TB control programs to improve TB prevention among foreign-born populations in the United States.

Development of new vaccines for tuberculosis. Morbidity and Mortality Weekly Report 47(RR-13):1-6, August 21, 1998.
Eliminating TB internationally and in the United States requires new tools, such as a vaccine. This report contains a strategic plan for the development of a TB vaccine.

Anergy skin testing and preventive therapy for HIV-infected persons: revised recommendations. Morbidity and Mortality Weekly Report. 46(RR-15):1-10, September 5, 1997.
This CDC report replaces previous recommendations for the use of anergy skin testing together with purified protein derivative (PPD)-tuberculin skin testing of HIV-positive persons.

Prevention and control of tuberculosis in correctional facilities. Morbidity and Mortality Weekly Report. 45(RR-8), June 7, 1996.
These CDC recommendations update and expand previously published recommendations for preventing and controlling TB in correctional facilities.

The role of BCG vaccine in the prevention and control of tuberculosis in the United States. Morbidity and Mortality Weekly Report. 45(RR-4):1-18, April 26, 1996.
This report replaces previous recommendations about the use of Bacillus of Calmette and Guerin (BCG) vaccine for controlling TB in the United States.

Screening for tuberculosis and tuberculosis infection in high-risk populations. Morbidity and Mortality Weekly Report. 4(RR-11), September 9, 1995.
This report updates previous recommendations for screening for TB infection and disease among high-risk populations.

Essential components of a tuberculosis prevention and control program. Morbidity and Mortality Weekly Report. 44(RR-11):1-16, September 8, 1995.
This CDC report outlines the core components of successful TB prevention and control programs.

Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994. Morbidity and Mortality Weekly Report. 43(RR-13):1-132, October 28, 1994.
These CDC guidelines update previous recommendations for preventing and controlling TB infection and disease in healthcare facilities.

Treatment of tuberculosis and tuberculosis infection in adults and children. American Journal of Respiratory and Critical Care Medicine. 149:1359- 1374, January 1, 1994.
This statement overviews TB drug regimens in current use and potentially effective regimens not yet widely used in treatment of TB and TB infection in U.S. adults and children.

Tuberculosis control laws-United States, 1993. Morbidity and Mortality Weekly Report. 42(RR-15), November 12, 1993.
These guidelines of the Advisory Council for the Elimination of TB address discrepancies between state TB control laws, many of which are outdated, and previously published recommendations for TB control.

National action plan to combat multidrug-resistant tuberculosis. Morbidity and Mortality Weekly Report. 41(RR-11):5-48, June 19, 1992.
This CDC report identifies objectives and recommends national activities for the control of multi-drug-resistant (MDR) TB.

Management of persons exposed to multidrug-resistant tuberculosis. Morbidity and Mortality Weekly Report. 41(RR-11), June 19, 1992.
This CDC report offers suggestions for evaluating and managing persons who have been exposed to patients with infectious multi-drug-resistant TB.

Prevention and control of tuberculosis in migrant farm workers. Morbidity and Mortality Weekly Report. 41(RR-10), June 5, 1992.
This report makes recommendations for the treatment and management of TB among migrant farm workers in the U.S.

Prevention and control of tuberculosis in U.S. communities with at-risk minority populations. Morbidity and Mortality Weekly Report. 41(RR-5), April 17, 1992.
This CDC report discusses the prevention and management of TB among minorities in the United States and provides a brief history of TB epidemiology among U.S. minority groups.

Prevention and control of tuberculosis among homeless persons. Morbidity and Mortality Weekly Report. 41(RR-5), April 17, 1992.
This CDC report makes recommendations for preventing and managing TB among homeless persons in the United States and provides a brief history of the epidemiology of TB among U.S. homeless persons.

Control of tuberculosis in the United States. American Review of Respiratory Disease. 146:1623-1633, 1992.
This document provides guidance for establishing TB prevention, control, and elimination programs for state, city, and county TB programs and for other health departments or hospital outpatient programs such as refugee programs, STD clinics, and acute care and extended healthcare facilities.

Diagnostic standards and classification of tuberculosis: Joint statement of the American Thoracic Society and the Centers for Disease Control and Prevention, the American Academy of Pediatrics, and the Infectious Disease Society of America. American Review of Respiratory Disease. 142(3):725-735, September 1990.
These diagnostic standards provide a classification scheme for TB that is based on pathogenesis and is applicable to all patients.

Prevention and control of tuberculosis in facilities providing long-term care to the elderly. Morbidity and Mortality Weekly Report. 39(RR-10):7-20, July 13, 1990.
This CDC report discusses preventing and managing TB in facilities that provide long-term care, especially those for the elderly.