role of general practitioners in tb control
DESCRIPTION
Role of General practitioners in TB Control. By Dr MM Nowshad. Effective Control of TB. Directly Observed Treatment of Short course (DOTS). What is DOTS. - PowerPoint PPT PresentationTRANSCRIPT
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By Dr MM Nowshad
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Directly Observed Treatment of Short course (DOTS)
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DOT means that a trained health care worker or other designated individual
(excluding a family member) provides the prescribed TB
drugs and watches the patient swallow every dose.
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Public sectorPrivate sector
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• case detection • ensure complete cure
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General Practitioners identify the TB suspects and refer to the
District Chest Clinicfor investigation and treatment.
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AMHBH Kalmunai
BH AkkaraipattuDBH Pottuvil
PU Central CampCD Irakkamam
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GP fills the Sputum formand sends to Microscopy lab
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One form enough for all 2/3 sputum samples
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Send to DCC
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patient who refuses to go to the District Chest Clinic even after thediagnosis of sputum smear positive
pulmonary TB was made.
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• propagates DOTS • Act as DOTS provider
Own patientsReferred patients
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All TB suspectsrefer to DCC
diagnosistreatment
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GP will inform the patients that the sputum microscopy is the primary and
mostreliable diagnostic tool of pulmonary
TB
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GP will inform the District Tuberculosis Control Officer with all the relevant
information of the patient necessary for registration at the District Chest
Clinic
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Registration of all diagnosed TB patients done only in
District Chest ClinicOnly one TB register
maintained for whole district
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patients diagnosed of TB-GP inform patients• follow up sputum examinations necessary
At 3month, 5th month and 6th month• importance of DOT
• To complete treatment
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• Train staff• Records
• Inform complications• Defaulters- DTCO
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1. DCC2. AMH
3. BH Kalmunai4. BH Akkaraipattu
5. DBH Pottuvil6. CD Ullai
7. Additional centers approved-CD Sennal Kramam, PU Central Camp,
DH Palamunai
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The referring GP would be informed of the result of investigation of the
referred patient and if diagnosed as Tuberculosis, the type and duration of
treatment.
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Regular drug supply free of charge
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provide the treatment card, requests forms for sputum microscopy
and the referral forms.
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Get back defaulters
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Follow up programevaluation
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• reliable diagnostic tool than X-ray • Simple to perform
• Easy to read • Quick results • Inexpensive
• Minimal infrastructure required to set up a microscopy centre
• High sensitivity and specificity for detecting infectious cases.
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Sustained political and financial commitment
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Diagnosis by quality ensured sputum-smear
microscopy
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Standardized short-course anti-TB treatment given
under direct and supportive observation
(DOT)
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A regular, uninterrupted supply of high quality
anti-TB drugs
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Monitoring and evaluation system, Standardized
recording and reporting
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Thank you
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