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TUBERCULOSIS

Activities

  • SCREENING

  • SAMPLE TRANSPORTATION TO THE LAB/INVESTIGATION

  • DIAGNOSIS, TREATMENT AND FOLLOW UP OF PATIENTS.

  • TB PREVENTION.

SCREENING

TB screening is mandatory for all patients/non-patients at the entrance(Active Case Finding) with the help of a screening tool. Anybody who screens positive is evaluated further and send for sample collection.

SAMPLE COLLECTION AND  TRANSPORTATION TO THE LAB/INVESTIGATION

Presumptive cases are escorted to the coughing zone for sputum production/collection which is the placed in the cool box for transportation to the lab for testing(gene-xpert). Nasogastric/Nasopharyngeal aspirate is also done  for children who cannot produce sputum. X-ray is also used as a screening tool for those presumptive cases that cant produce sputum.

DIAGNOSIS, TREATMENT AND FOLLOW UP OF PATIENTS

All patients diagnosed with TB either through gene-xpert or clinically are initiated on treatment possibly on the same day for 6 months except for TB meningitis/bone which is treated for 12 months.

Contact tracing especially for the index patients diagnosed through a positive xpert is initiated immediately. All under fives are invited/referred to the facility for evaluation and if they screen negative, TPT is initiated immediately for a period of 3 months.

All TB patients are followed up weekly for the first 2 months, 2 weekly for subsequent months throughout the course of treatment.

TB PREVENTION

  • Early diagnosis of TB through ACF helps to prevent further spread of TB

  • Proper ventilation and free air flow at all service delivery points

  • Screening of healthcare workers twice a year.

  • Posters on cough etiquette

  • Fast-tracking of coughers with the help of cough monitors/triage nurse

  • IPT for under 5s exposed to smear positive index case/all HIV positive clients.

  • ICF  for all HIV positive clients at each visit

  • ART for all HIV positive clients.