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Role of General practitioners in TB Control

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.

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Role of General practitioners in TB Control

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  1. Role of General practitioners in TB Control By Dr MM Nowshad I am Stopping TB

  2. Effective Control of TB Directly Observed Treatment of Short course (DOTS) I am Stopping TB

  3. What is DOTS 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. I am Stopping TB

  4. Public sector Private sector DOTS needs integration of two sectors I am Stopping TB

  5. Key aspects • case detection • ensure complete cure I am Stopping TB

  6. General Practitioners identify the TB suspects and refer to the District Chest Clinicfor investigation and treatment. Role of GP I am Stopping TB

  7. Our branch clinics AMH BH Kalmunai BH Akkaraipattu DBH Pottuvil PU Central Camp CD Irakkamam I am Stopping TB

  8. GP fills the Sputum formand sends to Microscopy lab Patient refuses to attend state health facility I am Stopping TB

  9. Sputum form is very important One form enough for all 2/3 sputum samples I am Stopping TB

  10. If smear positive Send to DCC I am Stopping TB

  11. patient who refuses to go to the District Chest Clinic even after thediagnosis of sputum smear positive pulmonary TB was made. Patient refuses I am Stopping TB

  12. What is GP doing? • propagates DOTS • Act as DOTS provider Own patients Referred patients I am Stopping TB

  13. How can GPs actively participate? I am Stopping TB

  14. All TB suspectsrefer to DCCdiagnosistreatment Important I am Stopping TB

  15. GP will inform the patients that the sputum microscopy is the primary and mostreliable diagnostic tool of pulmonary TB Important I am Stopping TB

  16. GP will inform the District Tuberculosis Control Officer with all the relevantinformation of the patient necessary for registration at the District Chest Clinic Important I am Stopping TB

  17. Important Registration of all diagnosed TB patients done only in District Chest Clinic Only one TB register maintained for whole district I am Stopping TB

  18. Important 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 I am Stopping TB

  19. Train staff • Records • Inform complications • Defaulters- DTCO GP as DOTS provider I am Stopping TB

  20. Microscopic centers • DCC • AMH • BH Kalmunai • BH Akkaraipattu • DBH Pottuvil • CD Ullai • Additional centers approved-CD Sennal Kramam, PU Central Camp, DH Palamunai I am Stopping TB

  21. The referring GP would be informed of the result of investigation of thereferred patient and if diagnosed as Tuberculosis, the type and duration of treatment. What DCC should do? I am Stopping TB

  22. Regular drug supply free of charge What DCC should do? I am Stopping TB

  23. provide the treatment card, requests forms for sputum microscopyand the referral forms. What DCC should do? I am Stopping TB

  24. Get back defaulters What DCC should do? I am Stopping TB

  25. Follow up programevaluation What DCC should do? I am Stopping TB

  26. Why sputum microscopy?? • 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. I am Stopping TB

  27. Elements of DOTS Sustained political and financial commitment I am Stopping TB

  28. Diagnosis by quality ensured sputum-smear microscopy I am Stopping TB

  29. Standardized short-course anti-TB treatment given under direct and supportive observation (DOT) I am Stopping TB

  30. A regular, uninterrupted supply of high quality anti-TB drugs I am Stopping TB

  31. Monitoring and evaluation system, Standardized recording and reporting I am Stopping TB

  32. Thank you I am Stopping TB

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