問題一覧
1
A country where TB is no longer a public
health problem
VISION
2
Ensure that TB diagnostic treatment and
information services are available and
accessible to the communities in
collaboration with the LGUs and other
partners.
MISSION
3
GOAL
Reduce TB burden by decreasing TB
mortality by 95% and TB incidence by 90%.
LONG TERM
4
GOAL
- Decreasing the number of TB deaths by
50% from 22,000 to 11,000
- Decreasing TB incidence rate by 15% from
554/100,000 to 470/100,000
- Reduce catastrophic costs incurred by
TB-affected households from 35% to 0%.
- At least 90% of patients are satisfied with
the services of the DOTS facilities.
MEDIUM TERM
5
- Is the identification and diagnosis of TB
cases among individuals with suspected
sign and symptoms of TB
CASE FINDING
6
- This is the procedure that ensure the patient
complete the treatment.
Objective:
- To ensure effective and complete treatment
of all TB cases for both adults and children
CASE HOLDING
7
Is a strategy developed to ensure treatment
compliance by providing constant and
motivational supervision to TB patients.
DIRECTLY OBSERVED TREATMENT SHORT COURSE
8
Classification of TB cases (based on
Anatomical site)
- Refers to a case of tuberculosis involving
the lung parenchyma. A patient with both
pulmonary and extra-pulmonary TB should
be classified as a case of pulmonary TB.
PULMONARY TUBERCULOSIS
9
Classification of TB cases (based on
Anatomical site)
- Refers to a case of tuberculosis involving
organs other than the lungs (e.g., larynx,
pleura, lymph nodes, abdomen,
genitourinary tract, skin, joints and bones,
meninges). Histologically-diagnosed EPTB
through biopsy of appropriate sites will be
considered clinically-diagnosed TB.
Laryngeal TB, though likely sputum
smear-positive, is considered an
extrapulmonary case in the absence of lung
infiltrates on CXR.
EXTRA PULMONARY TUBERCULOSIS
10
Types of TB cases:
a patient who has never had a
treatment for tuberculosis or who has taken
anti tuberculosis drugs for less than one
month
NEW
11
Types of TB cases:
a patient previously treated with
tuberculosis who has been cured or
treatment completed, and is diagnosed with
bacteriologically positive (smear or culture)
tuberculosis
RELAPSE
12
Types of TB cases:
– a patient who, while on treatment,
is sputum smear positive at five months or
later during the course treatment
FAILURE
13
Types of TB cases:
- a patient who has been transferred from another facility with proper referral/ following interruption of treatment for two months or more
TRANSFER IN
14
Types of TB cases:
– a patient who returns to treatment with positive bacteriology (smear or culture) following interruption of
treatment for two months or more
RETURN AFTER DEFAULT
15
Category and Treatment Regimen:
Category ___-
This treatment regimen is to be prescribed
to New:
1. Pulmonary tuberculosis patients whose
sputum is positive, and
2. Seriously ill patient with severe form of:
Smear negative pulmonary tuberculosis with
extensive parenchymal involvement
(including moderately advance or far
advance) or
Extra pulmonary tuberculosis e.g. meningitis etc.
1
16
Category and Treatment Regimen:
Category __
- This treatment regimen is to be prescribed
to previously treated patient
who are:
1. Relapse
2. Failure
3. Other ( smear +)
4. Return after default
2
17
Category and Treatment Regimen:
Category __
- This treatment regimen is to be prescribe to:
1. New pulmonary tuberculosis patients whose
sputum is smear- negative for 3 times and a
chest X –ray result of PTB minimal. If
patient meets the above criteria but
seriously ill, he should be prescribed
3
【第7章】疾患とその予防⭐️ｽﾀﾝﾀﾞｰﾄﾞ
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sero2
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問題一覧
1
A country where TB is no longer a public
health problem
VISION
2
Ensure that TB diagnostic treatment and
information services are available and
accessible to the communities in
collaboration with the LGUs and other
partners.
MISSION
3
GOAL
Reduce TB burden by decreasing TB
mortality by 95% and TB incidence by 90%.
LONG TERM
4
GOAL
- Decreasing the number of TB deaths by
50% from 22,000 to 11,000
- Decreasing TB incidence rate by 15% from
554/100,000 to 470/100,000
- Reduce catastrophic costs incurred by
TB-affected households from 35% to 0%.
- At least 90% of patients are satisfied with
the services of the DOTS facilities.
MEDIUM TERM
5
- Is the identification and diagnosis of TB
cases among individuals with suspected
sign and symptoms of TB
CASE FINDING
6
- This is the procedure that ensure the patient
complete the treatment.
Objective:
- To ensure effective and complete treatment
of all TB cases for both adults and children
CASE HOLDING
7
Is a strategy developed to ensure treatment
compliance by providing constant and
motivational supervision to TB patients.
DIRECTLY OBSERVED TREATMENT SHORT COURSE
8
Classification of TB cases (based on
Anatomical site)
- Refers to a case of tuberculosis involving
the lung parenchyma. A patient with both
pulmonary and extra-pulmonary TB should
be classified as a case of pulmonary TB.
PULMONARY TUBERCULOSIS
9
Classification of TB cases (based on
Anatomical site)
- Refers to a case of tuberculosis involving
organs other than the lungs (e.g., larynx,
pleura, lymph nodes, abdomen,
genitourinary tract, skin, joints and bones,
meninges). Histologically-diagnosed EPTB
through biopsy of appropriate sites will be
considered clinically-diagnosed TB.
Laryngeal TB, though likely sputum
smear-positive, is considered an
extrapulmonary case in the absence of lung
infiltrates on CXR.
EXTRA PULMONARY TUBERCULOSIS
10
Types of TB cases:
a patient who has never had a
treatment for tuberculosis or who has taken
anti tuberculosis drugs for less than one
month
NEW
11
Types of TB cases:
a patient previously treated with
tuberculosis who has been cured or
treatment completed, and is diagnosed with
bacteriologically positive (smear or culture)
tuberculosis
RELAPSE
12
Types of TB cases:
– a patient who, while on treatment,
is sputum smear positive at five months or
later during the course treatment
FAILURE
13
Types of TB cases:
- a patient who has been transferred from another facility with proper referral/ following interruption of treatment for two months or more
TRANSFER IN
14
Types of TB cases:
– a patient who returns to treatment with positive bacteriology (smear or culture) following interruption of
treatment for two months or more
RETURN AFTER DEFAULT
15
Category and Treatment Regimen:
Category ___-
This treatment regimen is to be prescribed
to New:
1. Pulmonary tuberculosis patients whose
sputum is positive, and
2. Seriously ill patient with severe form of:
Smear negative pulmonary tuberculosis with
extensive parenchymal involvement
(including moderately advance or far
advance) or
Extra pulmonary tuberculosis e.g. meningitis etc.
1
16
Category and Treatment Regimen:
Category __
- This treatment regimen is to be prescribed
to previously treated patient
who are:
1. Relapse
2. Failure
3. Other ( smear +)
4. Return after default
2
17
Category and Treatment Regimen:
Category __
- This treatment regimen is to be prescribe to:
1. New pulmonary tuberculosis patients whose
sputum is smear- negative for 3 times and a
chest X –ray result of PTB minimal. If
patient meets the above criteria but
seriously ill, he should be prescribed
3