Tutorial presented by Yvonne Hester, Lead TB Clinical Nurse Specialist, CVUHB.
In this tutorial, Yvonne outlines the following three topics:
- How to make initial contact
- What to do if you find active TB
- Different approaches to therapy
Tutorial: The Role of Specialist TB Teams
Refugees are arriving through lots of different channels, and it’s important to capture everyone as early as possible for a health assessment, and different health boards will have different approaches. The chest x-ray is one of the most important aspects of this health screening to identify active TB, and radiology departments should be primed for this influx of screening chest x-rays and that the chest x-rays are screened as quickly as possible with TB as a differential diagnosis.
If an individual is identified as having active TB, it is important to identify whether they are infectious and whether they are sensitive to the standard treatment.
If they are staying within host families, it’s important to protect those families by admitting them to hospital where there is a negative pressure room and managed by teams with experience of managing drug-resistant TB.
The different approaches to treatment will depend on the measures of drug resistance and any risk factors that they might have;
- Any patient with drug resistant TB should be initiated on Directly Observed Treatment (DOT)
- After a period of time, individuals might be able to drop to Video Observed Treatment (VOT) if the TB teams are confident that they are clinically improving with good compliance
If necessary, teams might need to use incentives to get people to complete their TB treatment. If teams have any concerns about patients, please discuss this further at the All Wales TB MDT.
Tutorial: The Role of Specialist TB Teams
Tutorial presented by Yvonne Hester, Lead TB Clinical Nurse Specialist, CVUHB.
In this tutorial, Yvonne outlines the following three topics:
- How to make initial contact
- What to do if you find active TB
- Different approaches to therapy
Refugees are arriving through lots of different channels, and it’s important to capture everyone as early as possible for a health assessment, and different health boards will have different approaches. The chest x-ray is one of the most important aspects of this health screening to identify active TB, and radiology departments should be primed for this influx of screening chest x-rays and that the chest x-rays are screened as quickly as possible with TB as a differential diagnosis.
If an individual is identified as having active TB, it is important to identify whether they are infectious and whether they are sensitive to the standard treatment.
If they are staying within host families, it’s important to protect those families by admitting them to hospital where there is a negative pressure room and managed by teams with experience of managing drug-resistant TB.
The different approaches to treatment will depend on the measures of drug resistance and any risk factors that they might have;
- Any patient with drug resistant TB should be initiated on Directly Observed Treatment (DOT)
- After a period of time, individuals might be able to drop to Video Observed Treatment (VOT) if the TB teams are confident that they are clinically improving with good compliance
If necessary, teams might need to use incentives to get people to complete their TB treatment. If teams have any concerns about patients, please discuss this further at the All Wales TB MDT.
Mark as Understood
Resources
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All Wales Guideline: Management of Refugees at risk of Drug-Resistant Tuberculosis
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