CHN MIDTERMS Flashcards
(22 cards)
TUBERCULOSIS OR TB is an infectious disease caused by the bacteria called
Mycobacterium tuberculosis, Tubercle bacilli.
HOW IS TB TRANSMITTED
through coughing, sneezing and spitting.
WHAT ORGANS ARE AFFECTED BY TB
Lungs are commonly affected but it could also affect
other organs such as the kidney, bones, liver, and
others.
T/F - TB is not curable
It is curable and preventable. However,
incomplete or irregular treatment may lead to drug-resistant
TB or even death.
In 2010, TB was the__ leading cause of
mortality with a rate of __deaths for every ___
population and accounts for __% of total deaths.
6th
26.3
100,000
5.1%
TB IS MORE PREVALENT AMONG ___ IN THE 25-55 AGE GROUP
MALES
WHO ARE AT RISK OF TB
Malnourished and Diabetics
WHEN WAS THE FIRST NATIONAL DRUG RESISTANCE SURVEY DONE
2003-2004
Tuberculosis is:
-NOT hereditary
-DOES NOT get caught in fatigue, wakefulness, or
dryness of sweat in the back.
-It is NOT passed on to the use of cutlery or glasses
by a person with TB.
-DO NOT get bitten by mosquitoes.
-It is NOT transmitted through the use of clothing or
blankets by a person with TB.
Period of communicability
as long as viable tubercle bacilli are being discharged in
the sputum. Some untreated or inadequately treated
patients may be sputum-positive intermittently for years.
Susceptibility and Resistance
the most hazardous period for development of critical
disease is the first 6-12 months after infection. The risk of
developing the disease is highest in children under 3 years
old, lower in later childhood and high again among
adolescents, young adults and the very old.
The NTP Control Program was organized in
1978
NTP CONTROL PROGRAM IS MANAGED AND ORGANIZED BY
the Infectious Diseases for Prevention and Control Division
(IDPCD) of the Disease Prevention and Control Bureau
(DPCB) of the Department of Health (DOH).
NATIONAL TB CONTROL PROGRAM MANDATES:
(1) develop policies, standards and national strategic plan
(2) manage program logistics
(3)provide leadership and technical assistance to the lower
health offices/units
(4) manage data, and
(5) conduct monitoring, and evaluation
TB VISION
A Tuberculosis-free Philippines (Zero deaths, disease, and
suffering due to tuberculosis)
TB LONG-TERM GOALS
BY 2035 - Reduce TB burden by decreasing TB mortality by 95% and TB incidence by 90%
TB MEDIUM-TERM GOALS
Reduce TB burden by:
- decreasing the number of TB deaths by 50% from
22,000 to 11,000
-decreasing TB incidence rate by 15% from
554/100,000 to 470/100,000
-reduce catastrophic costs incurred by TB-affected
households from 35% to 0%
- at least 90% of patients are satisfied with the
services of the DOTS facilities
WHAT IS THE PRIMARY DIAGNOSTIC TOOL IN NTP CASE FINDINGS
Direct Sputum Smear Microscopy (DSSM)
WHAT IS THE ONLY CONTRAINDICATION FOR SPUTUM COLLECTION
hemoptysis.
in which case, DSSM will be requested after control of
hemoptysis.
How is TB treated?
TB-DOTS is the most effective way to treat TB. It only takes
at least 6 months of continuous treatment. Take TB
medicines daily under the guidance of a health service
provider. It is important not to stop the treatment so that TB
(DR-TB) does not reach drug resistance, as the treatment will take longer (up to 24 months) or cause your death.
TB - CATEGORY 1
TYPE OF TB PATIENT - New smearpositive PTB New smearnegative PTB with extensive parenchymal lesions on CXR as assessed by the TBDC EPTB, and Severe
TREATMENT REGIMEN INTENSIVE PHASE - 2 months of HRZE Isoniazid (H) Rifampicin (R) Pyrazinamide (Z) Ethambutol (E)
MAINTAINANCE PHASE - 4 months of HR Isoniazid (H) Rifampicin(R)
CATEGORY 2
TYPE OF TB PATIENT - New smearpositive PTB New smearnegative PTB with extensive parenchymal lesions on CXR as assessed by the TBDC EPTB, and Severe
TREATMENT REGIMEN INTENSIVE PHASE - 2 months of HRZE Isoniazid (H) Rifampicin (R) Pyrazinamide (Z) Ethambutol (E)
MAINTAINANCE PHASE - 4 months of HR Isoniazid (H) Rifampicin(R)
