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Free Content Starting treatment: caring for patients and their families [Educational Series: Best Practice. Serialised Guide. Best practice for the care of patients with tuberculosis. Number 3 in the series]

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The standards presented in this section focus on providing physical, social and psychological care for the patient at the point he or she is diagnosed with tuberculosis (TB) and starts treatment. Detailed guidance is included with regard to organising directly observed treatment (DOT) safely and acceptably for both the patient and the management unit. The aim is to give the patient the best possible chance of successfully completing treatment according to a regimen recommended by the World Health Organization. If the health service where the patient is diagnosed cannot offer ongoing treatment and care due to a lack of facilities, overcrowding or inaccessibility, the patient needs to be referred to a designated TB management unit (BMU) elsewhere. The patient may also receive treatment from a facility outside a BMU. However care is organised, it is essential for all patients who are diagnosed with TB to be registered at an appropriate BMU so that their progress can be routinely monitored and programme performance can be assessed. To avoid the risk of losing contact with the patient at any stage of their care, good communication is essential between all parties involved, from the patient him/herself to the person supervising their DOT to the BMU.
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Keywords: best practice; patient care; treatment

Document Type: Invited Paper

Affiliations: 1: International Union Against Tuberculosis and Lung Disease, Paris, France; and International Council of Nurses, Geneva, Switzerland 2: International Union Against Tuberculosis and Lung Disease, Paris, France 3: Ministry of Public Health, Bangkok, Thailand 4: Ministry of Health, Kampala, Uganda 5: KNCV, The Hague, The Netherlands 6: State Agency of Tuberculosis and Lung Diseases, Riga, Latvia 7: São Paulo University, Sao Paulo, Brazil

Publication date: May 1, 2008

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on lung health world-wide.

    To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from the IJTLD and publishing them on The Union website, prior to their publication in the Journal. Read fast-track articles.

    Certain IJTLD articles are also selected for translation into French, Spanish, Chinese or Russian. These are available on the Union website.

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