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Table Of Contents

INTRODUCTION
1.1Chapter objective
1.2 Prevention of MDR TB
1.3 Causes of drug-resistant tuberculosis
1.4 Addressing the sources of MDR-TB
1.5 Magnitude of the MDR-TB problem in India
1.6 Special considerations for PMDT
1.7 The PMDT framework for the management of multidrug-resistant TB
1.8 Summary
CHAPTER 2: STRUCTURE AND RESPONSIBILITES
2.1 Chapter Objectives
2.2 State-level structure and responsibilities
2.3DR-TB Centres:
2.4 Coordination
2.5 Overview of model of care
3.1 Chapter Objectives
3.2 RNTCP PMDT Vision
3.3 RNTCP Strategy for Prevention and Control of MDR TB
3.4Improving laboratory capacity for rapid diagnosis of M/XDR TB
3.5Initiation and rapid-scale-up of effective treatment services forMDR TB:
3.3 National PMDT Scale up Plan (2011-12)
4.1 Chapter Objectives
4.2 Laboratory services required for introduction of PMDT
4.3 Definition of accreditation and certification:
4.4 Definitions
4.4 Methods for drug susceptibility testing
4.5 Organization and development of the laboratory network
4.6 Choice of Diagnostic Technology:
4.8Specimen Collection
4.9Specimen transportation to culture-DST laboratories
4.10Quality Assurance for culture and DST
5.2MDR suspect policies and definitions
5.3 Case finding strategy
5.4 Operational process of specimenreferral
5.4 Programme preparation to advance MDR Suspect Criteria
5.5. Communication of results between C-DST laboratory and providers
5.6 Management of patient treatment while results are awaited
5.7Recording treatment outcomes
CHAPTER 6: PRE-TREATMENT EVALUATION
6.1 Chapter objectives
6.2 Referral for pre-treatment evaluation
6.3 Pre-treatment Evaluation
6.5Providing Counselling to Patient and Family Members
CHAPTER 7: TREATMENT OF MDR & XDR TB
7.1 Chapter Overview
7.2Classes of anti-TB drugs
7.4Regimen for MDR-TB
7.5Treatment Duration for Regimen for MDR TB
7.9Differences in management of XDR TB, compared to MDR TB
7.10 Management of treatment interruptions and defaultfor M/XDR TB patients
7.11Transfers of M/XDR TB patients
CHAPTER 8: MONITORING & OUTCOME DEFINITIONS
8.1 Chapter objective:
8.2Clinical monitoring
8.3Follow-up investigations during treatment
8.4Follow up smear and culture examination during treatment
8.5Action based on follow-up sputum examination results
8.6 M/XDR TB Treatment Outcome definitions
CHAPTER 9: TREATMENT DELIVERY AND ADHERENCE
9.1 Chapter objectives
9.2 Education of patients and their families
9.3 Treatment delivery settings
9.4Adherence
9.5 Directly observed therapy
9.6 Socioeconomic interventions
9.7 Social and emotional support
9.8 Follow-up of the non-adherent patient
9.9 Early and effective management of adverse drug reactions
9.10 Death Audit
CHAPTER 10: MDR-TB in special situations
10.1Chapter objectives
10.2 MDR-TB in pregnancy (3-7)
10.3 MDR-TB with HIV co-infection(8-13)
10.4 Role of surgery in management of MDR-TB (14-17)
10.5 MDR-TB in patients with renal impairment (18)
10.6 MDR-TB in patients with pre-existing liver disease (19)
10.7 MDR-TB in patients with seizure disorders (19,20)
10.8 MDR-TB in patients with psychosis (21,22)
10.9 Management of MDR TB in Extra Pulmonary TB cases
10.10 Management of contacts of MDR-TB (23-27)
CHAPTER 11:ADVERSE REACTIONS
11.1 Chapter Objectives
11.2 Notable adverse reactions to the drugs used
11.3Management of adverse drug reactions
11.4Role of DR-TB Centrecommittee in the management of adverse reactions
CHAPTER 12: RNTCP PMDT RECORDING AND REPORTING SYSTEM
12.1 Chapter objectives
12.2 Aims of the information system
12.3 Scope of the information system
12.4 Records, reports and flow of information
12.5 Computerized systems
12.6 Training in Data Management:
12.7 Cohort analysis
CHAPTER 13: LOGISTICS OF SECOND-LINE ANTI-TB DRUGS
13.1 Chapter objectives
13.2 Overview
13.3 Drug management cycle of second-line anti-TB drugs
14.4 SME for preparatory districts
14.5 SME for implementing States/districts
14.6Job Aides for PMDT services
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Guidelines for PMDT in India - May 2012

Guidelines for PMDT in India - May 2012

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Published by smbawasaini
RNTCP
RNTCP

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Published by: smbawasaini on Jul 26, 2013
Copyright:Attribution Non-commercial

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01/06/2014

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