Nutritional Support

Nutrition constitutes an important part of TB Treatment. Undernutrition increases the risk of Tuberculosis (TB), and in turn, TB can lead to malnutrition. It has been demonstrated that undernutrition is a risk factor for progression from TB infection to active TB disease, and undernutrition at the time of diagnosis of active TB is a predictor of increased risk of death and TB relapse.

Nutritional Counselling

Nutritional Counselling begins with the nutritional assessment of TB patients by

  • Nutritional Status: Assessing the height, weight and BMI of the TB patient

  • Diet and Preference food for TB patients

  • Current appetite and food intake of TB patients

 

Based on the nutritional assessment, following information can be conveyed to TB Patients

TB Arogya Saathi Application

TB Aarogya Sathi empowers Citizens (including TB Patients under NTEP) and to serve as a Direct interface with the national TB program.

Citizen: The App is aimed at  increasing awareness among the citizens. It is available for all Citizens using the App (no login required to access this content)

Receiving a biological specimen at the Laboratory

Biological specimen/ samples collected on reaching a TB testing laboratory needs to be formally received. The sample may be handed over by agents(couriers, health staff/ volunteers, patient representatives) or by patients themselves. The formal receipt of sample enables further processes such as testing and communication of results back to the patient. If the sample is successfully received, the appropriate testing process is initiated using the sample, else it is rejected and a fresh sample requested. 

Zoonotic TB: Treatment and management

zTB is treated similarly to M. tuberculosis. In fact, healthcare providers might not know that a person has M. bovis instead of M. tuberculosis. M. bovis is usually resistant to one of the antibiotics, pyrazinamide, typically used to treat TB disease. However, resistance to just pyrazinamide does not usually cause problems with treatment, because TB disease is treated with a combination of several antibiotics. Latent infection without disease is not treated with pyrazinamide.

Integration with NTEP and/or other programs

To better document the burden and generate accurate, representative data that differentiate disease due to M. bovis from that due to M. tuberculosis, countries should strive to incorporate zoonotic TB into their routine surveillance activities. Better detection of cases requires greater awareness and expertise of healthcare providers, strengthened laboratory capacity, and improved access to accurate, rapid diagnostic tools.

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