The Training Manual for Medical Doctors – Drug Resistant (DR) TB 2024 is designed to assist medical doctors in comprehending and managing Drug-Resistant Tuberculosis (DR-TB). It functions as an all-encompassing resource for diagnosing and treating DR-TB, offering practical case management skills through real-life scenarios. The manual highlights essential aspects such as diagnostic algorithms, tools, treatment plans, infection control, patient-focused care, and managing adverse drug reactions, ensuring healthcare professionals are thoroughly equipped to handle DR-TB cases effectively.
Describe the global and Nepal-specific situation of DR TB epidemic, END TB strategy and National Strategic plan (NSP), 2021/22 – 2025/26.
Define DR TB, identify types and explain the causes of drug resistance and role of different levels in PMDT.
Explain diagnostic tests for DR TB, sputum specimen collection and transportation and diagnostic algorithms for DR TB
List different types of DR TB treatment regimen, drugs and explain the principles for treating MDR/RR-TB cases
Initiate the most appropriate regimen promptly, perform clinical and laboratory assessments per national guidelines, and optimize case management.
Monitor the follow up and treatment of DR TB patients and learn about aDSM.
Manage the DR-TB patients with comorbidities and in special situation.
Apply good IPC practices in his/her workplace, promote treatment adherence of patients by education and counseling sessions as well as provision of (available) social economic support.
Record and Report PMDT data per national guidelines.
Target Audience
This is a 3-day training program with site visits (DR TB treatment centers and Reference laboratories) designed for medical doctors and other healthcare professionals who are involved in the treatment, care, and management of DR TB patients.
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