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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 Presentation
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By Dr MM Nowshad
04/21/23 I am Stopping TB 1
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
• 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
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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