TB infection control in the era of MDR and XDR TB. Haileyesus Getahun Stop TB Department WHO/HQ. Collaborative TB/HIV activities . A. Establish the mechanism for collaboration A.1. TB/HIV coordinating bodies A.2. HIV surveillance among TB patient A.3. TB/HIV planning
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Stop TB Department
A. Establish the mechanism for collaboration
A.1. TB/HIV coordinating bodies
A.2. HIV surveillance among TB patient
A.3. TB/HIV planning
A.4. TB/HIV monitoring and evaluation
B. To decrease the burden of TB in PLWHA
B.1. Intensified TB case finding
B.2. Isoniazid preventive therapy
B.3. TB infection control in health care and other settings
C. To decrease the burden of HIV in TB patients
C.1. HIV testing and counselling
C.2. HIV preventive methods
C.3. Cotrimoxazole preventive therapy
C.4. HIV/AIDS care and support
C.5. Antiretroviral therapy to TB patients.
TB infection control is an important TB/HIV activity
TB transmission & PLHIV
Increased susceptibility to TB infection
Smear negative and paucibacillary in HIV+
Frequent clinical visit and hospitalisation
Delay in diagnosis is common
TB is the commonest presenting illness in PLHIV receiving ARTWhy TB infection is important for HIV care?
Evidence of nosocomial and community XDR transmission
555 XDR cases in SA by March 2007 (267 in Tugela Ferry)
Meanwhile, in South Africa, 100 patients fled a hospital after paramedics wearing head-to-toe protection brought in eight people with the same contagious infection.
Greatest impact and topmost priority action
Ventilation (natural and mechanical)
Protection of HCW and staff
Increasing access to HIV testing
Personal respiratory protection
Not priority action in HIV settings
Face masks help to prevent the spread of TB from the patient (cough hygiene)
Respirators to protect health workers and patients but expensiveWhat needs to be done?