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INFECTION CONTROL of M.tuberculosis IN KAZAKHSTAN

INFECTION CONTROL of M.tuberculosis IN KAZAKHSTAN. SERIK SADYKOV Almaty , 2010. Presentation objective. To describe the infection control situation in Kazakhstan : - Problems and constraints - Solutions.

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INFECTION CONTROL of M.tuberculosis IN KAZAKHSTAN

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  1. INFECTION CONTROLof M.tuberculosisIN KAZAKHSTAN SERIKSADYKOV Almaty, 2010

  2. Presentation objective To describe the infection control situation in Kazakhstan: - Problems and constraints - Solutions

  3. TB morbidity and mortality in Kazakhstan per 100 000 of population [Translator's note: see notes below slide for table legend]

  4. Drug-resistance among screened patients in Kazakhstan [Translator's note: see notes below slide for table legend]

  5. Recorded cases of TB/HIV among new cases in TB facilities in Kazakhstanactual numbers

  6. Morbidity among health workers in TB facilities in Kazakhstan,per 100 000 of population [Translator's note: see notes below slide for table legend]

  7. Specialists attending international training seminars on infection control Murmansk, 2008 Bucharest, 2008 Almaty, 2009 Riga, 2009 Bishkek, 2009 • 3 specialists • 1 specialist • 10 specialists • 1 specialist • 2 specialists

  8. Restructuring of TB facilities For MTB expectorators with non-drug-resistant forms For noninfectious TB patients and differential diagnosis For supportive treatment of chronic TB (widespread forms, MDR TB, XDR TB) Second-line drug treatment for MDR TB patients

  9. Engineering solutions 2008. – Refurbishment of MDR TB facility in Almaty Equipped with mechanical ventilation system; - Zoning of wards; - Global Fund support

  10. Engineering solutions 2009 Refurbishing of reference laboratory at the Kazakhstan National TB Centre, Almaty; - Equipped with mechanical ventilation system; • Zoning of work areas; • Fitted with biosafety equipment - Global Fund support

  11. Respirators 2009 • 22 506 respirators procured for health workers at national TB facilities; • Global Fund support

  12. Principal infection control issues in Kazakhstan • Duration of inpatient treatment • Development of outpatient treatment • Strengthening the network of primary health-care facilities in the management of the national TB programme • CHRONIC MTB EXPECTORATOR CASES • Prison settings

  13. Key concerns Isolation What case? Where? How? For how long?

  14. Mechanical ventilation • Where needed • Cost • Proper service

  15. Next step – ratification of national infection control plan [See note under slide for translation]

  16. Thank you for your attention

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