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Dear All,Do we have any guideline available on Infection Control measures in community settings in any country?Best regards,Rajbir Singh
In my view TB Infection Control at the community level is simply good TBControl - active case finding, rapid diagnosis, and prompt effectivetreatment. Changing behavior in communities, reducing crowding in a widerange of public places and on transportation is difficult to envision muchless implement. TB IC in homes is even more challenging since transmissionis likely to occur in the period after patients become infectious andbefore they are identified and treated. Increased ventilation can delaytransmission in my view, but perhaps not prevent it if exposure is forweeks or months. There is little evidence to support any views on thissubject.
I couldn't agree more. I would only add contact tracing to what has already been mentioned, which is too often seen as somehow separate to active case finding. It should be emphasized that contact tracing is still relevant for child index cases. Also, I'd encourage combined HIV/TB contact tracing to get the most benefit from what can be a time-intensive intervention.
Hi all,I have a related question.I am looking for a TB risk assessment tool for community work; we have staff who are regularly exposed to TB/DRTB in informal settlements (corrugated dwelling, one room, many people living in the room, sleeping in the same bed, Cape Town winds and polar air during winters, lack of confidentiality due to the contiguity of the households etc...).We employ Community Health workers who support adherence to ART/ TB/ DRTB treatment with clients who might be defaulting hence quite sick and bedridden.We have a comprehensive risk assessment tool for facilities, but it is quite difficult to find one for community settings.Any one of you currently using any?I would be really appreciate as we have to comply to the Occupational Health Act here in SAThanks a lot
Val Robertson at Zipcop in Zimbabwe has one.
Dear colleagues,kindly find the link to some manuals, at least one addressing community settinghttp://tbcare2.org/resources/infection-control
Further to Dr.Robert Flick's comment, I would suggest that we adopt contacttracing approach as is done in leprosy control programs in most of thedeveloping countries. We could look at target groups for HIV and adoptscreening programs for Tuberculosis.
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