What is DOTS plus for TB treatment?
The DOTS-Plus strategy (the strategy to be tested) includes additional measures including continuous drug resistance surveillance, culture, drug susceptibility testing for TB patients, and tailoring of individual drug regimen through the use of first and second-line drugs.
What are the five component of DOTS strategy?
Directly Observed Therapy Shortcourse (DOTS) is composed of five distinct elements: political commitment; microscopy services; drug supplies; surveillance and monitoring systems and use of highly efficacious regimens; and direct observation of treatment.
What is Dot treatment tuberculosis?
What is DOT? DOT means that a trained health care worker or other designated individual (excluding a family member) provides the prescribed TB drugs and watches the patient swallow every dose.
What is first line treatment for tuberculosis?
Of the approved drugs, the first-line anti-TB agents that form the core of treatment regimens are: isoniazid (INH) rifampin (RIF) ethambutol (EMB)
WHO TB prophylaxis guidelines?
The following options are recommended for the treatment of LTBI regardless of HIV status: 6 or 9 months of daily isoniazid, or a 3-month regimen of weekly rifapentine plus isoniazid, or a 3 month regimen of daily isoniazid plus rifampicin.
What are the advantages and challenges of the DOTS strategy?
The main advantages of DOTS are (i) Cure rates of upto 95%, (ii) Prevention of MDR–TB emergence, (III) Improvement of longevity of AIDS patients by TB control, (iv) It is “one of the most cost-effective of all health interventions”, according to World Bank.
What are the first line drugs for TB?
Of the approved drugs, the first-line anti-TB agents that form the core of treatment regimens are:
- isoniazid (INH)
- rifampin (RIF)
- ethambutol (EMB)
- pyrazinamide (PZA)
What is the role of RNTCP?
RNTCP uses the World Health Organisation (WHO) recommended Directly Observed Treatment Short Course (DOTS) strategy and reaches over a billion people in 632 districts/reporting units. The RNTCP is responsible for carrying out the Government of India five year TB National Strategic Plans. An RNTCP centre
Can a private provider refer a patient to the RNTCP?
Instead of the requirement that patients receiving care from a private provider should be referred to the RNTCP. Now the aim was that the patient should be able to stay with the private provider but be able to receive RNTCP services. The decision was also made to introduce a daily TB treatment regimen.
What is the revised national TB control program (RNTCP)?
The large scale implementation of the Indian government’s Revised National TB Control Program (RNTCP) (sometimes known as RNTCP 1) was started in 1997. The RNTCP was then expanded across India until the entire nation was covered by the RNTCP in March 2006.
What is dots 8/28/2013 DOTS Plus?
This can be achieved through the use of DOTS 8/28/2013 Dr.T.V.Rao MD 45 48. DOTS Plus • DOTS Plus refers to a DOTS program that adds components for MDR TB diagnosis, management, and treatment. The WHO-endorsed DOTS Plus program began in 2000.