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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 prev

Health Policy 2014 and under the strategic direction of the worldwide initiative to end TB –The End TB Strategy. Ending TB is defined as a decrease in incidence rate of more than 80% by 2030 and 90% by 2035 compared to 2015 baseline. It is believed that a rapid expansion of the

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