n CME : Your SA Journal of CPD - Management of pulmonary TB in nurse-based Cape Town Metropolitan Local Authority clinics : main topic
|Article Title||Management of pulmonary TB in nurse-based Cape Town Metropolitan Local Authority clinics : main topic|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Author||Christine L. De Villiers and Ivan Toms|
|Publication Date||Feb 2005|
|Pages||68 - 71|
|Keyword(s)||Cape Town, Cure rates, Diagnosis, Directly observed therapy, Incidence, Management, Nurse-based clinics, Private sector collaboration, Pulmonary tuberculosis and Short-term chemotherapy|
The South African TB epidemic, enhanced by HIV, poses an increasing challenge. <br>Delayed diagnosis of smear-positive PTB is a major contributor to the spread of TB. <br>Constitutional symptoms and a productive cough exceeding 2 weeks is indication for TB screening. <br>Sputum microscopy remains the main and most cost-effective tool to identify infectious TB. <br>Nurse-based clinics offer free bacteriological screening and treatment of smear-positive PTB. <br>Directly observed treatment (DOT) is a key element in adherence and should apply to every patient on TB treatment. <br>VCT should be offered to all TB patients. Co-infected cases are WHO HIV stage 3 at least, require co-trimoxazole, screening for opportunistic infections, CD4 count and appropriate referral for ARVs.
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