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Flowchart TB DOTS
Flowchart TB DOTS
Flowchart TB DOTS
Presumptive TB*
Adult Cough of at least 2 weeks
:
with/ without fever, chills,
night sweats, back/ chest
pain, fatigue, loss of
appetite, weight loss,
hemoptysis, dyspnea.
Child
:
Resistant / Sensitive
DSSM
Smear (+)
History of Previous
Treatment ?
No
Yes
Refer to PMDT for
Evaluation
New, Bacteriologically
Confirmed, TB
MTB Detected,
RIF- RESISTANT
Refer to PMDT Services
for Management
Category I Treatment
Retreatment,
Bacteriologically
Confirmed, TB
Category II Treatment
SRDR (Cat IV)
Smear (-)
X-ray findings
suggestive of TB?
Yes
No
History of Previous
Treatment ?
New, Clinically
Diagnosed, TB
Category I Treatment
Yes
No
MTB Detected,
RIF- RESISTANT
Refer to PMDT Services
for Management
Further Clinical
Evaluation/ Refer to
specialist
Category II Treatment
Yes
No
Yes
No
Category I Treatment
Retreatment, Clinically
Diagnosed, TB
Symptomatic &
Typically ill?
X-ray findings
suggestive of TB?
Yes
No
Access to Xpert?
Yes
No
MTB Detected,
RIF- RESISTANT
Further Clinical
Evaluation, 3/6 Criteria
Category II Treatment
Yes
No
Yes
No
Category I Treatment
Retreatment, Clinically
Diagnosed, TB
Symptomatic &
Typically ill?
History of Previous
Treatment ?
X-ray findings
suggestive of TB?
Yes
No
Access to Xpert?
Not TB, investigate
once Symptoms recur
Yes
No
MTB Detected,
RIF- RESISTANT
Yes
er to PMDT for
Evaluation
Ye
No
Retreatment,
Bacteriologically
Confirmed, TB
Category II Treatment
New, Bacteriologically
Confirmed, TB
Category I Treatment
History of
Treatm
(Relapse, TAL
No
New, Clinically
Diagnosed, TB
Category I Treatment
related problem,
diately inform staff if you have
ve cough.
de Information and ask staff
eve your record.
is no need for priority
.
will be directed on a
ated waiting area prior to
g the DOTS consultation room.
will be provided with masks,
napkin for your
ng/pulmonary toileting needs,
riate waste receptacles are
placed for your disposal.
will be instructed by staff on
ou can do while waiting for
rn, Please observe proper
tory etiquette, wear your
er Personal protective
cough / symptoms
tent.
Smear (+)
New Presumptive Drug Susceptible TB
(Children with Presumptive TB,
Presumptive EPTB, PLHIV with sign/
symptom of TB)
TB
(Signs &
CX
MTB Detected
Rifampicin
Presumptive
TB
Sputum
Collection Area
Provi
Sup
h
s
ks,
EC
s
Direct to DOTS
Waiting Area
(Outdoor)
Submit
TB Microscopy
Laboratory
Advise
result
turn a
uban magkasakit
Sampungan
Sampung
ang baba ug
anUbo
ilong kung
ug mag
Hatsing.
Gamit ang Tissue,
panyo o labakara
OR
ilabay sa saktong