????????????????????????????????????????????????????????? ????????????????? (CT3-BI)

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??????????????????????????????????????????????????
???????????????????????? (CT3-BI)
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Treatment Outcome
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Treatment Outcome for New and Retreatment TB
Case (Oct2004 - Sept2005)

• Remark
• The denominator is No. of Completed treatment
  outcome.

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Outcome after 2 mo of treatment of New PTB
smear cases
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TB Classification by HIV Status
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CD4 level in TB/HIV
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Background of TB clinic

• National Training Center for HIV/AIDS Care
• Increase number of TB patients
• More than 70 of TB patients were PLWHA
• Lack of monitoring and evaluation system
• Nov 2005 start TB surveillance

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RegistrationData collection
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TB activities in BI
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????????????
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1/50 1 ??.- 31 ??. 49, 2/50 1 ??..- 31 ???.50,
3/50 1 ???.- 30 ???. 50 ???????????? ??????? 2550
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???????????????????

• ?????????????????????????????????????????????
  ???????????????????????????????????
• ??????????????????????????????????????????????????
  ?HIV/AIDS???????????????????????????????????
• ???????????? HIV serology ?????????????????????
  ???? ??????????????????????????????????? safe
  sex ?????????????????????????????????????????????
  ?????????????????????
• ??????????????????????????????????????????????????
  ??????????????????????? ????????????????????????
  ???????????????? ????????????????? ?

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Fast track
Respiratory hygiene and cough etiquette
-masking all patients who had respiratory
symptoms
Registration

• Screening criteria (passive case detection )
• Chronic cough more than 2 weeks
• Prolonged fever with weight loss
• hemoptysis

Triage nurse
One-stop service - TB registration and data
collection - TB management (Ix and Rx) including
DOT corner - Counseling TB and VCT/DCT for
Anti-HIV - Follow up and referral system
TB Clinic
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TB activities in BI
O TB Screening Point at OPD
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Active case detection
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Sputum collection
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TB activities in BI
O TB Screening and One Stop Services at TB
Clinic
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Result of TB in High risk group
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?????????????

• ????
• ???????
• ???????????
• ??????? NAP
• ??????? NAPHA EXTENSION

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One stop clinic
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Counselingincluding DCT, TB screening in
Household and TB/HIV screening in partner
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Immune Reconstitution Inflammatory SyndromeIRIS
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?????????????????????????????????????????????????
???

• 1. ??????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ??????????????
• (??? 6/1) ??? 3657 ??????????????????
  ????????????????????????????????????????
• 2. ??????????????????????????????????????????????
  ?????????????????????????????? 2 ????????
  ???????????? TB clinic ??????????????????????????
  ????????????????

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DOT cornerDaily package
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DOT
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TB activities in BI
O Build TB, TB/HIV referral system in
Nonthaburi network

• TB technical support for community hospital
  and
• PCU staffs

• Refer TB cases to community hospital/PCU for
• DOT and home visit by Health officers

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TB activities in BI
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Referral system
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?????????????????
1.??????? ???????????????????????????????????????
??????????? ??????????????????????????????????????
??????????????????????????????????????????
400??.?????????????????????? 600 ??.
??????????????????????????????????????????????????
????????????????????? ??? 2-6 ????????????????????
?????????????????????????? 2. ???????
????????????????????????????????
???????????????????????????????????????????? (
BIR TUC TB) 3. ??????? ?????????????????????????
??????????????????????????????????????? ( CFP
)?????????????????????????????????????????????????
????????????

• 1.

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?????????????????( ??? )

• 4. ??????? ???????????????? ????????????????????
  ?????
• ..????????????..?.?. ???????
  ???????????????
• 5. ??????? POST
• .????????????..?.?.?????? ????????
• 6. ??????? ????????????????????????????......
• .....????????????....?.?. ????????
  ???????????????

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?????????????????( ??? )

• 7.??????? ????????????????????????????????????????
  ???????????????????? ???????????
  ??????????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ???????????????????

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Characteristic of TB Cases
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Voluntary Counseling and Testing
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Receiving HAART in TB/HIV
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Treatment Outcome for New and Retreatment TB
Cases
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????????????????????????????????????????????(Trans
fer out)????? 140 ???

• - Cure
  17 ???(12)
• - Complete 27
  ???(19.3)
• - Failure
  0 ???
• - Died
  48 ???(34.3)
• - Default 24
  ???(17)
• - Transfer out 20
  ???(14.3)
• - on treatment 3
  ???
• - Transfer in 1
  ???

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Treatment Outcome for New and Retreatment TB
Cases In 2005
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Treatment Outcome for New and Retreatment TB
Cases In 2006
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Treatment Outcome for New and Retreatment TB
Cases In 2007
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