Tb Case Holding

Only available on StudyMode
  • Download(s) : 158
  • Published : January 26, 2012
Open Document
Text Preview
Case Holding
-Ensures treatment compliance
-Indirectly, this will translate to treatment success or cure -Poor treatment compliance may lead to the following outcomes: oChronic infectious illness
oDrug resistance
oDeath

Poor Case Holding
1.Inadequate drugs and poor drug distribution
2.Patient’s non-adherence
3.Physician’s non-adherence
4.Low motivation of health workers

SLU PPMD Unit: Operations

PTB Suspect
-Cough > 2 weeks with or without the following
oFever
oHemoptysis
oBack pains
oWeight loss
oEasy fatigability

Refer to SLUPPMD unity for sputum AFB smear

PTB

YesNo

TreatRefer to TBDC

Send back to referring physician
-Importance of taking the drug
-Role of treatment partner in the family
-Possible side effects
-Regular physical examination

Classification of TB cases
1.Pulmonary TB
a.Smear positive
o>2 (+) sputum AFB + radiographic abnormalities consistent with TB, OR o1 (+) sputum AFB + radiographic abnormalities consistent with active TB as determined by a physician, OR o1 (+) sputum AFB + sputum culture (+) for MTB

b.Smear negative
o> 3 (-) sputum AFB with radiographic abnormality consistent with active PTB, AND ono response to a course of antibiotics, AND
oTBDC decides to treat the patient

2.Extra-Pulmonary TB (EP)
a.A patient with at least one mycobacterial smear/culture positive from an extra-pulmonary site, OR b.A patient with histological &/or clinical evidence consistent with active extra-pulmonary TB and there is a decision by the TBDC to treat the patient with anti-TB drugs. -Note: All EP cases shall undergo DSSM prior to treatment

Types of TB Cases
-New – no Tx or 2 months
-Treatment failure – still (+) on the 5th month
-Other – became (+) on 2nd month; interrupted Tx but smear (-)

Recommended Category of Treatment Regimen
CategoryType of TB PatientTB Treatment Regimen
IntensiveContinuation
INew smear (+) PTB
New smear (-)...
tracking img