Home Communicable Diseases National Guideline on Drug Resistant TB Management 2019, Nepal

National Guideline on Drug Resistant TB Management 2019, Nepal

by Public Health Update

National Guideline on Drug Resistant TB Management 2019, Nepal

Risk Population for DR-TB (Ref. Page no. 11)

The following categories of TB patients are at risk of having DR-TB and need to be screened for drug resistance;

  1. Close contact of DR-TB case
  2. Previously treated patients who either:
    – failed
    – relapsed
    – returned after loss to follow-up
  3. Smear positive at 2 months or subsequent follow up during first-line treatment
  4. Not getting better / getting worse during continuation phase of the first-line treatment and patients with frequent interruptions and irregular first line drugs.
  5. Health care workers with presumptive TB.
  6. PLHIV, DM and other immunocompromised
  7. Belonging to vulnerable groups such as migrants and refugees

Most patients with presumptive DR-TB will be bacteriologically positive pulmonary cases, but clinically confirmed pulmonary or extrapulmonary TB cases may also present with presumptive DR-TB if they show a clinically unfavorable evolution.

Prevention of drug-resistant TB (Ref. Page no. 6)

  1. Early detection and high-quality treatment of drug-susceptible TB.
  2. Early detection and high-quality treatment of drug-resistant TB.
  3. Effective implementation of infection control measures.
  4. Strengthening and regulation of health systems.
  5. Addressing underlying risk factors and social determinants

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National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

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