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Monitoring Infection Control status in MDR TB patients' household

By Soe Htut Aung | 23 Jul, 2014

Hi all,

Our project is currently working Community based package of services to MDR TB patients to assist National TB Program. Infection Control is part of our package of services and we are using a checklist (based on WHO guideline) as a quarterly assessment tool. We selected 10 top priority questions to give score. Then we defined 'Meet infection control' for those whose score at least 7 out of 10 marks. Honestly I am not confident in reporting on 'Percentage meeting IC standards'. So, please kindly let me know if you could share something to monitor IC status of MDR TB household (e.g., a tool to monitor OR an indicator: % of close contacts diagnosed with TB/MDR TB within treatment period of patient....)

Thanks

Soe Htut Aung, MBBS, MPH
Technical Officer
CAP TB Project, FHI 360, Myanmar

Replies

 

Asfawesen Gebreyohannes Woldegiorgis Replied at 7:58 AM, 23 Jul 2014

Dear Soe Htut

I kindly request you share us the 10 priority Ques you are using to assess IC at community/HH level.

Thanks


Asfawesen GYohannes, MD
Clinical Director
USAID|Private Health Sector Program in Ethiopia
Abt Associates Inc.
Addis Ababa, Ethiopia

Mebrie Belete Replied at 8:18 AM, 23 Jul 2014

Dear Soe Htut,

Would you please share me the checklist you used and can contribute something be referring them?
 


Regards,

Mebrie
Community based TB/HIV prevention and control project coordinator
Amref Health Africa-Ethiopia

Mobile: +251 910 33 48 47




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Virginia Lipke RN, MHA, ACRN, CIC Replied at 8:25 AM, 23 Jul 2014

Dear Sue Htut,
Can you share the checklist with me also? Send to <mailto:>
Many thanks,
Ginny

CLEMENT ADESIGBIN Replied at 11:32 AM, 23 Jul 2014

Dear Soe Hutt,

Pls share this checklist with me also through .

Kind regards.

Mebrie Belete Replied at 11:41 AM, 23 Jul 2014

Dear Soe Hutt,


Pls share this checklist with me also through .
 
Kind regards,

Mebrie

Mobile: +251 910 33 48 47



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Joachim Okhifo Replied at 2:30 PM, 23 Jul 2014

Dear Soe Hutt,

Please i will appreciate if you share the checklist with me also through

thanks.

Kingsley Ochei Replied at 3:14 PM, 23 Jul 2014

This is nice to know. Could you please share checklist with me on .

Thank you.

Kingsley Ochei
Senior Technical Officer
FHI 360 Country Office
Abuja

Indrajit Kumar Replied at 8:33 PM, 23 Jul 2014

Respected Sir,
Pl. Share this checklist with me through my id.
.

With Regard
Indrajit.

Edward Nardell, MD Moderator Replied at 9:43 PM, 23 Jul 2014

I know I say this often, but just another reminder that the single most
important infection control for MDR or any TB in the home is to be sure the
patient is on effective therapy - and supervised. Once on, everything else
is very much secondary. The paper describing the rapid action of drugs on
transmission will be in the Int J. Tuberc Lung Dis in Sept.

qwerty qwertt Replied at 11:01 PM, 23 Jul 2014

Hi
Effective treatment is the best strategy. Resources need to be addressed to
this.

In addition, considering there is evidence that there is delay in the
detection of the case itself, and adherence to treatment, mechanisms at a
community level and not just household around case finding, contact
tracing, cough etiquettes, improved ventilation will go a long way in
reducing transmission.

Focusing on the community, will reduce stigma associated with focus on
households, also bring out more awareness and improve early detection and
treatment components.

Infection control has a multifactorial strategy, and one will observe many
components and not just one will help in control.

Raveendra Reddy Replied at 1:04 AM, 24 Jul 2014

I totally agree with Edward.

Patrick Gomani Replied at 2:52 AM, 24 Jul 2014

Dear Soe,
This is great work you and your tram are doing. I am District TB CARE II
in a rural district in Malawi and like you to share with me the tools you
are using

Soe Htut Aung Replied at 3:41 AM, 24 Jul 2014

Dear Edward, Dyson and all,

I agree with the multifactorial strategy and effective supervised therapy. First of all, the question set has two parts:
Part I: 14 objective questions (mostly to MDR TB patient and some to close contacts)
Part II:. 3 Observation questions (that CHWs observe and record)

Please kindly see the 10 priority questions (from Part I) that we give score below:
1. Does the patient disclose his MDR TB status to close contacts?
2. Dose any of close contacts suffer from cough?
3. Have the close contacts been screened of TB?
4. Does the patient know the cough etiquette?
5. Dose the patient know how long to wear surgical mask?
6. Dose the patient know proper sputum disposal?
7. Dose the patient know the measures he need to take to prevent TB transmission?
8. Do the close contacts know importance of ventilation?
9. Has the patient been screened for HIV?
10. Have the close contacts been screened for HIV?

Here is how we give scoring with two rule:
IF MDR TB patient lives with close contacts, he will score 1 from each 'YES' response except question #2, which we score 'NO'.
IF MDR TB patient lives alone, he will score 5 from question 1, 2, 3 8 and 10. Then, the other questions will be assessed as above rule.

The infection control checklist is based on WHO guideline and practices from other partners. However, the scoring is justified to our best knowledge and experience. So, please kindly let me have your responses the most efficient and effective way to monitor the IC status of MDR TB patients household overtime.

Thanks :)
SHA

Mebrie Belete Replied at 4:08 AM, 24 Jul 2014

Dear  SHA,

Thank you for sharing this important tools

Llang Bridget Maama Replied at 4:28 AM, 24 Jul 2014

This is quite helpful!
Thank you!

Patrick Gomani Replied at 4:53 AM, 24 Jul 2014

Dear SHA,
Thanks very much, this help me during supervision and follow up of our MDR
TB patients.

Hasnain Javed Replied at 5:34 AM, 20 Jan 2016

Dear All,
Can any body send me QUESTIONNAIRE for MDR TB house hold contact screening.
It will be very nice if you share with me on

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