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階段 4 — 產生解決方案。在疑似傳染性肺結核被確認後的第一小時內，選取所有適當的行動。

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1 Place a mask on the client, use a private room with the door closed while an AIIR is arranged, and limit movement outside the room to medically necessary transport. 為個案佩戴口罩，在安排 AIIR 期間使用關閉門的單人房，並限制離開房間的活動僅限於醫療上必要的運送。 2 Use a negative IGRA obtained today to exclude active pulmonary TB, discontinue respiratory isolation, and continue routine pneumonia care while cultures are pending. 使用今天取得的陰性 IGRA 來排除活動性肺結核，停止呼吸道隔離，並在培養結果出來前繼續常規肺炎照護。 3 Restrict entry to essential personnel wearing a fit-tested NIOSH-approved N95 or higher-level respirator and confirm appropriate respiratory protection before entry. 限制進入者為佩戴密合度測試過的 NIOSH 核准 N95 或更高級別呼吸防護具的必要人員，並在進入前確認適當的呼吸防護。 4 Classify every person who entered the building as a close contact and begin latent-TB medication before exposure intensity, symptoms, and medical risk are assessed. 將每個進入建築物的人歸類為密切接觸者，並在評估暴露強度、症狀和醫療風險前開始潛伏結核感染用藥。 5 Collect at least three sputum specimens 8 to 24 hours apart, including one early-morning specimen, and obtain smear, culture, NAA, and drug-susceptibility testing. 間隔 8 至 24 小時採集至少三套痰液檢體，包括一套清晨檢體，並進行抹片、培養、NAA 和藥物敏感性試驗。 6 Notify the clinician and infection prevention, coordinate with the state or local TB program, and prioritize contacts using shared-air exposure and progression risk. 通知臨床醫師和感染預防部門，與州或地方結核病計畫協調，並使用共享空氣暴露和進展風險來排列接觸者的優先順序。

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