Healthcare workers working overseas in high tuberculosis incidence settings, particularly those with limited infection prevention and control measures, have an increased risk of acquiring tuberculosis. Assess the need for BCG vaccination in these workers.
Consider BCG vaccination for TST negative health care workers in any setting who are at high risk of exposure to drug resistant tuberculosis. This is because drug resistant infections are difficult to treat.
Some other occupational groups have a risk of tuberculosis exposure but are not recommended to receive BCG vaccine because the evidence of benefit of BCG vaccination is limited and infection prevention can be undertaken. This includes healthcare workers at tuberculosis clinics or refugee health clinics, embalmers and people involved in autopsies.
