{"presentation":{"slides":[{"elements":[{"x":1.0868932461873637,"y":4.324470842332614,"width":98.03921568627452,"height":95.03239740820734,"action":{"library":"H5P.Video 1.6","params":{"visuals":{"fit":true,"controls":true},"playback":{"autoplay":true,"loop":false},"l10n":{"name":"Video","loading":"Video player loading...","noPlayers":"Found no video players that supports the given video format.","noSources":"Video is missing sources.","aborted":"Media playback has been aborted.","networkFailure":"Network failure.","cannotDecode":"Unable to decode media.","formatNotSupported":"Video format not supported.","mediaEncrypted":"Media encrypted.","unknownError":"Unknown error.","invalidYtId":"Invalid YouTube ID.","unknownYtId":"Unable to find video with the given YouTube ID.","restrictedYt":"The owner of this video does not allow it to be embedded."},"sources":[{"path":"videos\/sources-642a726203e5e.mp4","mime":"video\/mp4","copyright":{"license":"U"}}]},"subContentId":"e3072356-fd3e-49c4-86e9-a68faa0b13c7","metadata":{"contentType":"Video","license":"U","title":"Untitled Video"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.581901489117984,"y":11.337868480725623,"width":93.92898052691866,"height":11.337868480725623,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

It is important that patients receive their positive\/negative test results and an adequate explanation of the results in a timely manner. <\/span><\/span><\/span><\/span><\/span><\/span><\/span>Time required for different Laboratory test results include:<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/strong><\/p>\n"},"subContentId":"0206152b-3dad-4ee3-b867-a7b24d6c0591","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":30.011454753722795,"y":29.981632653061226,"width":65.29209621993127,"height":47.61904761904762,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

1. Smear microscopy\/follow up:1 day<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

2. Nucleic Acid Amplification Test (NAAT) (CBNAAT\/Truenat):1-2 days<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

3. Line Probe Assay (LPA): 2-3 days<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

4. Liquid Culture DST (Drug Susceptibility testing): 22-48 days<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

Results of all laboratory tests such as smear, culture and DST \/ LPA \/ NAAT should be entered in Nikshay by the testing facility<\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"0c064d59-328b-449f-b440-a15f7d848197","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.581901489117984,"y":29.47845804988662,"width":23.13860252004582,"height":43.083900226757365,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64971cbfc9cb5.png","mime":"image\/png","copyright":{"license":"U"},"width":644,"height":608}},"subContentId":"540d0021-0a2a-41a5-bfa2-443b68093700","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":3.4364261168384878,"y":6.802721088435374,"width":92.55441008018327,"height":34.01360544217687,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Communicating test results<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/strong><\/p>\n\n

Communicating test results to the patient provides an opportunity to discuss about TB disease, its prognosis and treatment options.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

It also includes counselling and educating patient and family members on need for regular treatment, cough etiquette and proper disposal of sputum to prevent transmission of disease.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

<\/p>\n"},"subContentId":"559d1281-814b-42b8-af5a-bf3322dea2c2","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.290950744558992,"y":45.35147392290249,"width":18.84196985083664,"height":40,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64971d377cdef.png","mime":"image\/png","copyright":{"license":"U"},"width":562,"height":604}},"subContentId":"8bacd652-97e3-430d-b359-3ceb895634c8","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":18.327605956471935,"y":43.083900226757365,"width":77.89232531500572,"height":56.68934240362812,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

It is important that:<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n

\n\t
All results should be communicated to the concerned health facility through Nikshay as soon as results are available<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n\t
Alternative means (email, SMS etc) are also used to communicate the test results<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n\t
Test results once available, should be promptly communicated to the patients by NTEP supervisors\/general health system staff\/community volunteers within 1-2 days<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span>\n\t
\n\t\t
It is essential that laboratory technicians record the complete addresses of patients examined for diagnosis. This facilitates tracing and initiation of treatment for all diagnosed TB cases<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n\t<\/ul>\n\t<\/li>\n<\/ul>\n"},"subContentId":"a2f8934c-ab3d-4470-b8b5-65a0d7406f58","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.177429193899782,"y":6.493952483801296,"width":95.86056644880175,"height":90.71274298056156,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
All patients whose test report is positive should be provided information on TB disease, TB treatment and counselled for early treatment initiation. Emphasis should be made on starting the treatment at the earliest in order to prevent further transmission of disease .<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span>\n\t
\n\t\t
The primary caregivers and other household members of the patient should be counselled for matters related to patient\u2019s TB treatment, cough hygiene, risk of spreading infection, nutrition and also address issues related to gender, stigma, discrimination or any other psycho-social issues (if any, related to TB diagnosis) that could impact treatment initiation.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n\t<\/ul>\n\t<\/li>\n\t
For those patients whose test report is negative (active TB ruled out), they should be further tested for TB infection (TBI) and on confirmation of TBI, their eligibility for TB preventive treatment (TPT) should be assessed and necessary action should be taken, if eligible.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n\t
For those patients who do not have TB disease nor TB infection, negative test result also needs to be communicated. Broad spectrum antibiotics are prescribed to them for 10-14 days. Most patients are likely to improve with a course of antibiotics if they are not suffering from TB.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n\n
If the symptoms persist after the course of antibiotics, the patient is re-evaluated by repeat sputum and X-ray examination and decision to treat accordingly is made by the treating physician.<\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"2be19d03-abc2-4fe3-ac1f-89a3b54a2b21","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":5.445403050108933,"y":10.808768898488122,"width":64.4880174291939,"height":59.179265658747305,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Resources <\/strong><\/p>\n\n
\n\t
Training Modules for Programme Managers and Medical Officers<\/a> <\/li>\n\t
Module for Senior Treatment Supervisor<\/a> <\/li>\n\t
Guidelines for PMDT in India, 2021<\/a><\/li>\n<\/ul>\n"},"subContentId":"7adb0eee-9292-4d3e-ac12-2a49e95fa685","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Ch 31: Communicating Results to the patient

Need to communicate results to patient

How to communicate results to TB patient