Tuberculosis (TB) Overview
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CLINICAL DESCRIPTION
General principles
The goals of TB treatment are to cure the patient and restore their quality of life, to prevent death from TB, to reduce transmission of TB in the community and to prevent the development and spread of drug-resistance.
Directly observed treatment (DOT)
The treatment supervisor watches the patient swallow the tablets throughout the whole course to treatment. DOT ensures that the TB patient takes the right drugs, in the right doses at the right times. Supervisors or “treatment supporters,” can be health workers, volunteers, trained members of the community or guardians. A patient-centered approach with proper communication between the patient and treatment supporter promotes patient education, good adherence and early identification of challenges with treatment (including side-effects and clinical worsening). All treatment supporters should be chosen together with and should be acceptable to the patient. The need for good adherence and follow-up should always be reinforced. Patients should be reminded about the duration of treatment and common side effects.
For more details refer to following MoH Guidelines:
- National Tuberculosis Control Program Manual (8th edition, 2018)