In our review published in the previous issue, we noted that contradictory infection prevention and control recommendations have resulted in confusion in practice and inconsistent use of personal respiratory protection when caring for patients with infectious respiratory tuberculosis in hospitals and other healthcare facilities. Recent national evidence-based guidelines in England and Wales have sought to clarify this issue by making firm recommendations for tuberculosis infection prevention and control. We describe and discuss this guidance, focusing on our concerns over the illogical recommendations for the use of personal respiratory protection.
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