n CME : Your SA Journal of CPD - Management of pulmonary TB in nurse-based Cape Town Metropolitan Local Authority clinics : main topic

Volume 23, Issue 2
  • ISSN : 0256-2170



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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