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Table Of Contents

1. INTRODUCTION
Global and Indian Scenario
National Tuberculosis Programme (NTP)
Revised National TB Control Programme (RNTCP)
Structure of the RNTCP
Central TB Division
State level
District level
Sub-district level
Designated Microscopy Centre
Peripheral Health Institutions
Public Private Mix (PPM)
2. GOAL, COMPONENTS AND SCIENTIFIC BASIS OF DOTS
Goal of RNTCP
Components of DOTS
Scientific basis of DOTS
3. DIAGNOSIS OF TUBERCULOSIS
Identification of tuberculosis suspects
Diagnosis by Sputum Microscopy
Guidelines for collecting sputum for smear microscopy
Diagnosis by other methods
Quality Assurance
Exercise 1
4. ADMINISTERING TREATMENT
Disease Classification:
Pulmonary tuberculosis
Extra Pulmonary Tuberculosis
Types of Tuberculosis Patients
Categories of Treatment
Referral for Treatment
Patient-wise boxes
Regimen for non-DOTS treatment in DOTS areas
Side effects of Anti-TB drugs
Regimen – ND1
Regimen – ND2
Symptom-based approach to evaluation of possible side effects of anti-TB drugs
Follow-up examinations
Schedule for follow-up sputum examinations during entire Course of treatment
Action for patients who interrupt treatment:
Tuberculosis treatment card
Supervising Drug Administration
Ensuring proper drug administration
Recording of Drug Administration
Illustration
Recording Remarks
Exercise 2
5. SPECIAL SITUATIONS
1. Hospitalisation
2. TB Meningitis
3. TB-HIV
4. TB during pregnancy and whilst breastfeeding
5. TB in children
6. Multi-drug resistant tuberculosis (MDR-TB)
6. RECORDING AND REPORTING
Recording and referral tools required in the RNTCP
7. LOGISTICS MANAGEMENT
Monitoring and Evaluation
Recommended Paediatric Regimens and Drug Dosages
Appendix 2: TB Treatment in HIV infected patients
DOTS in TB-HIV
Anti tuberculosis therapy and antiretroviral therapy (ART)
Appendix 3: Extra Pulmonary Tuberculosis
Challenges in EP tuberculosis
Management of TB lymph node
Management of pleural effusion
Management of TB spine
Observations on Skeletal TB
Appendix 4: Infection Control in RNTCP
Appendix 5: Solutions to Exercises
Appendix 6: Zeihl Neelsen Staining
Appendix 7: References
Annexure – 1
Annexure – 2
Annexure – 3
Annexure – 4
Annexure – 5
Annexure: 6
Annexure: 7
Annexure: 8
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Training Module for Medical Practitioners 300309

Training Module for Medical Practitioners 300309

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Published by Vinoth Chellaiyan

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Published by: Vinoth Chellaiyan on Apr 22, 2012
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