Identify PRESUMPTIVE TB case

ADULT PRESUMPTIVE DRUG SUSCEPTIBLE PRESUMPTIVE DRUG

 Cough of at least 2 weeks duration with or TB AMONG SELECTED VULNERABLE RESISTANT TB
without ANY of the following: significant GROUPS
unintentional weight loss, fever, bloody sputum  Retreatment case
or hemoptysis, chest pains not referable to any  Elderly (60yrs old and above)  Non-converter of
musculoskeletal disorders, easy fatigability or  Children (15yrs old and below) Category I
malaise, night sweats, shortness of breath or  Inmates/prisons  Contacts of DR-TB
difficulty of breathing  New case who are presumptive  PLHIV w/ signs &
 Unexplained cough of any duration in a close extrapulmonary TB symptoms of TB
contact of a known active TB case
 Chest x-ray findings suggestive of PTB
Refer to Hospital TB team
CHILDREN (15yrs old and below)
1) Exposure of a known active TB case Fill up 2 copies of Form 2a.
2) Chest x-ray findings suggestive of PTB NTP LABORATORY REQUEST
3) (+) Tuberculin Skin Test FORM and 1 copy of Form 7.
4) Other laboratory findings suggestive or indicative NTP REFERRAL FORM
of TB
5) 3 of the ff signs & symptoms: RAPID TB DIAGNOSTIC LABORATORY
(GENE XPERT)
 Coughing/wheezing of 2 weeks or more
 Unexplained fever of 2 weeks or more
 Loss of weight/ failure to gain weight/ weight
faltering/ loss of appetite;
 Failure to respond to 2 weeks of appropriate
antibiotic therapy MTB NOT MTB DRUG
 Failure to regain previous state of health 2 DETECTED DETECTED RESISTANT
weeks after a viral infection
 Fatigue, reduced playfulness, or lethargy
(child has lost his/her normal energy)

Refer to Hospital TB team Refer to Refer to Refer to

Physician for DOTS PMDT
reassessment facility facility
Perform TB diagnostic and laboratory procedures

DSSM XRAY

KEY POINTS TO REMEMBER

1. COLLECT SPECIMEN FIRST OR
DSSM (+) If (-) DSSM and with SUBMIT PATIENT FOR DIAGNOSTIC
Bacteriologically- (+) XRAY FINDINGS, TESTS BEFORE GIVING OF ANTI-TB
confirmed TB refer to Gene Xpert MEDS.
2. FOR CHILD WHO CANNOT
EXPECTORATE BUT MEET 3 OUT
OF 5 CRITERIA, REFER CASE TO
PHYSICIAN.
Refer to DOTS 3. ALWAYS REFER PRESUMPTIVE TB
facility CASE TO HOSPITAL TB TEAM.

Hospital DOTS