PMDT Referrals_ver 2

7/28/2019 PMDT Referrals_ver 2

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REFERRING MDR TBSUSPECTS


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What is MDR TB?

Multidrug-resistant TB (MDR-TB): is active TB involving

Mycobacterium tuberculosisorganism that are resistant toat least Isoniazid andRifampicin.


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How to Identify MDR TB suspect?

Previously TreatedCases

New or PreviouslyTreated Cases

1.Failure cases of

Category I and II

1.Symptomatic

contact ofconfirmed orsuspectedDR-TB

2. Other/Chronic TBcases

2. Confirmed case ofHIV with symptomsof TB

3. Non-converter of

Category II


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RETREATMENT CASES

1. Failure cases of DOTS Category I and II

a patient who remains (or becomes) sputum smear-positive on the 5th month or later of DOTS Category I or

Category II treatment

2. Other/Chronic TB cases

patients who have failed more than two DOTS treatment

Patients who were given non-DOTS treatment

Other (+) and Other (-)


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RETREATMENT CASES

3. Non-converter of Category II

a patient who remains smear-positive at the end ofthe third month of DOTS Category II treatment

4. Relapse Cases of Category I and II

a patient who has been declared cured or

treatment completed, and is diagnosed withbacteriologically (smear or culture) positive TB


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RETREATMENT CASES

5. Return After Default

a patient who returns totreatment with positivebacteriology (smear or culture)

following interruption oftreatment for two months ormore


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NEW OR RETREATMENT CASES

1. Symptomatic contact of a confirmed orsuspected drug-resistant patient

A contact refers to a household contact whois a person who normally sleeps in the samedwelling unit as the drug-resistant index casefor at least three months and has a commonarrangement for preparation and consumption

of food

This patient has a higher risk of contracting thedrug-resistant strain of the index case.


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NEW OR RETREATMENT CASES

2. Confirmed case of HIV with symptoms of TB

PLWH who has pulmonary or extra-pulmonary TBsymptoms or has chest x-ray findings suggestive of TB

HIV infection by itself is not a risk factor specifically forMDR-TB, but for TB, in general. However, since HIV-infected patients with MDR-TB have high mortality, earlydiagnosis through culture and DST are recommended


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How to Refer MDR TB Suspect?

Smear (+)Re-treatmentCase

Treatment Center

Screening : TB

Culture and DST,

Smear, PE &

Medical Hx NTP

Treatmentcards

PMDT

Referralform-fully


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How to Refer MDR TB Suspect?

Smear (-) Re-treatmentCase

Chest X-ray

TB DiagnosticCommitteeRecommendation forTreatment

NTP Treatment card Fully Accomplished

MDR TB ReferralForm

Treatment

CenterScreening : TB

Culture and DST,

Smear, PE &

Medical Hx

DOTS

FacilityOR

Standardized Treatment

at the

Treatment

Center

Acknowledgement

form from Treatment

centre


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EnsureCOMPLETENESS andCORRECTNESS ofinformation

Date of

referral

Suspects complete name

and demographic info

Referring units complete

information

Identify reason for

referring DR-TB suspect

(High Risk Group)

Detailed history of

suspects previous

anti-TB treatment (if any)


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Acknowledgment form for initialdiagnosis

referring unitwill receiveAcknowledgment

Form from the TC

Plan and recommendation

for the patient


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Patients referred will be

Provided of free screening andassessment (PE and Medical History

Free Laboratory and Diagnostic Test(DST, Culture)

Free medicine for the whole duration

of treatment


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PMDT Treatment Centers:

Lung Center of the Philippines

Kabalikat sa Kalusugan (KASAKA)

PTSI-Tayuman San Lazaro Hospital

Dr. Jose N. Rodriguez MemorialHospital (DJNRMH-TALA)


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Thank you

PMDT Referrals_ver 2

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