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  • TB Case Finding

    Learning Objectives

    TB Case finding encompasses all activities that are performed to identify TB cases from the population. This includes activities to identify population at high risk of TB and periodically screening them, to final diagnostic testing and notification after confirmation of TB diagnosis. The goal of these activities are directed towards identifying all cases of TB as early as possible.

    TB Case finding employs a number of methods or approaches such as Passive Case Finding, Active Case Finding and Intensified Case Finding.

    The methods rely on a series of concepts or case definitions, TB diagnostic technology and specimen collection and transportation.

Content

Different tuberculosis (TB) case finding strategies are deployed in public and private sector for early detection of TB patients and their subsequent linkage to treatment facility.

Public Sector:

  1. Passive TB case finding: It is defined as diagnosis of TB at health facilities among individuals who are aware of their symptoms and present for evaluation of the same on their own.
  2. Intensified TB case finding: Screening patients attending health facilities with comorbidities for TB (HIV service provision centers, Diabetes Mellitus testing centers, Non-Communicable Disease clinic including tobacco cessation center, Nutritional Rehabilitation Center etc.).
  3. Active TB case finding It is defined as systematic screening and clinical evaluation for TB in individuals who are at high risk of developing the same.
  4. Vulnerability Mapping: Population based screening to detect people with TB and TB related risk factors and following them up under Health and Wellness Center.

Private sector:

  1. Gazette Notification: TB notification is mandatory for all health facilities including private diagnostic and treatment centers.
  2. Implementation of schedule H1 drug protocol: Each chemist selling anti-TB drugs to anyone need to provide the details of TB patient as well as healthcare provider for such patients to NTEP.
  3. Engagement via Patient Provider Support Agency: The agency has a specific role to engage private labs and hospitals for TB notification and related public health action.

 

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https://cms.swasth-egurukul.in/en/page-preview/41101

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