I have a question on (mdr) tb infection control.
I am a doctor in png, currently a big (mdr) TB hotspot.
Some organizations in the country are setting up an mdr treatment program with 100% ambulatory care of ( mdr) tb patients. Regardless if they are sputum positive or not, or MDR or not. They are Sending them home to live with their families with health education to sleep in seperate rooms with ventilation. ( difficult in png) .In our hospital we are currently still isolating the sputum positive ones untill they are sputum negative. Which in my opinion makes more sense infection control wise. I was just wondering what your opions are and if there is any research/ evidence for full ambulatory care versus isolation care.
Iris de ridder