Communicable Dses Flashcards
NTP Vision
TB Free Philippines
NTP Mission
Reduce TB burden - mortality and incidence
Zero catastrophic cost
Responsive delivery of TB services
What type of TB cannot be treated with the first regimen? (2HRZE/4HR)?
TB of the CNS, bones, joints
What is the regiment for TB CNS, bones and joints
(2HRZE/10HR)
Follow up schedule for TB patients
1st: After intensive phase (2nd month)
2nd and 3rd only if still positive after intensive phase
2nd: After 5th month
3rd: After 6th month
TB Patient Classification Definition
NEW
Has never had treatment for TB or has taken anti TB drugs for less than 1 month
TB Patient Classification
RELAPSE
Previously treated and DECLARED CURED or TREATMENT COMPLETED. Now with active TB
TB Patient Classification
RETREATMENT (UMBRELLA)
Has been treated before with Anti-TB FOR AT LEAST 1 MONTH
TB Patient Classification
TREATMENT AFTER FAILURE
Previously treated for TB but failed most recent course based on positive SM follow up at 5 months or clinically diagnosed TB patient with no clinical improvement anytime in the course
TB Patient Classification
TREATMENT AFTER LOST TO FOLLOW UP
Did not complete treatment
Lost to ff up for at least 2 months
TB Patient Classification
PREVIOUS TB TREATMENT OUTCOME UNKNOWN
Previously treated but outcome of most recent course is unknown
TB Patient Classification
PATIENTS WITH UNKNOWN PREVIOUS TB TREATMENT HISTORY
Do not fit any category
Considered as previously treated
Pillars of NTP
1: Integrated patient-centered TB care and prevention
2: Bold policies and supportive systems
3: Intensified research and innovation
Nomenclature Code for Xpert results
T: MTB detected, Rifampin resistance not detected
RR: MTB detected, Rifampicin resistance detected
TI: Indeterminate rifampicin resistance
N: Not detected
I: Invalid/error
Test for Ff up in TB
Direct Sputum Smear Microscopy (DSSM)
Adverse Anti-TB Drug Reactions
Gastrointestinal Manifestations
Rifampicin, Isoniazid, Pyrazinamide
(Give at bedtime or with small meals)
Adverse Anti-TB Drug Reactions
Mild or localized skin reactions
Any drug
(Anti histamine)
Adverse Anti-TB Drug Reactions
Orange/red color urine
Rifampicin
(Reassure pt)
Adverse Anti-TB Drug Reactions
Pain at injection site
Streptomycin
(Warm compress)
Adverse Anti-TB Drug Reactions
Burning sensation in feet (Peripheral neuropathy
Isoniazid
(Vitamin B6/Pyridoxine at 50-100 mg/day for tx or 10mg/day for prevention)
Adverse Anti-TB Drug Reactions
Hyperuricemia —> Arthralgia
Pyrazinamide
(Aspirin or NSAID; Uric acid determination for gout of persists)
Adverse Anti-TB Drug Reactions
Flu like symptoms
Rifampicin
(Antipyretics)
Adverse Anti-TB Drug Reactions
Severe skin rash (hypersensitivity)
All especially Streptomycin
Adverse Anti-TB Drug Reactions
Jaundice due to hepatitis
Isoniazid, Rifampicin, Pyrazinamide