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National Tuberculosis Management Guidelines

National Tuberculosis Management GuidelinesGovernment of Nepal Ministry of Health and Population Department of Health Services National Tuberculosis Centre Thimi, BhaktapurENDTB2019iiNATIONAL Tuberculosis Management Guidelines 2019 TABLE OF CONTENTS 1. INTRODUCTION AND INFORMATION ON THE National TB PROGRAM 12. BACKGROUND ON Tuberculosis BURDEN 93. GENERAL INFORMATION ABOUT Tuberculosis 114. Tuberculosis CLASSIFICATION AND DEFINITIONS 155. Tuberculosis CASE DETECTION AND DIAGNOSIS 186. TREATMENT OF Tuberculosis 337. DIAGNOSIS AND TREATMENT OF Tuberculosis IN CHILDREN 528. DRUG RESISTANT /MDR TB Management 759. TB INFECTION CONTROL 7810. Tuberculosis AND HIV 8311. Tuberculosis AND TOBACCO 8912. Tuberculosis AND DIABETES 9513. Management ASPECTS OF TB CONTROL PROGRAM 9914 MONITORING AND EVALUATION FOR TB CONTROL PROGRAM 101 ANNEXURESA nnex 1a: Procedure for obtaining clinical samples for bacteriological examination 108 Annex 1b: Job Aid for gastric aspiration 112 Annex 2: Recommended treatment regimens and dosages use of fixed dosed combined (FDC) drugs 113 Annex 3a: Guidance for dosing of INH preventive therapy 114 Annex 3b: Recommended Anti -TB drug dosages 114 Annex 4: Flow chart for Management of bacteriologically confirmed cases 115 Annex 5: Triple-layer packaging 116 Annex 6: Recording and reporting forms 117ivNATIONAL Tuberculosis M

2 NATIONAL TUBERCULOSIS MANAGEMENT GUIDELINES 2019 1.2 NATIONAL TB STRATEGY ALIGNMENT TO END TB STRATEGY AND THE RESPONSIBILITIES OF TB TEAMS AT DIFFERENT LEVELS WHO’s End TB Strategy, developed within the context of the United Nations Sustainable Development Goals (SDGs), is a logical evolution, reflecting a …

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