The management of TB patient in close settings, that guarantee a decrease in transmission risk, an adequate surveillance to treatment, and to opt for social support measures, this one becoming a proposal for the management of MDR TB or XDR TB patients and specially in the management of cases that do not comply with an adequate treatment and/or have social conditions that put in risk their adequate follow up. Some strategies are exposed through this article that have already been used in other countries and that we should value implementing them according to our local reality.