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2d8ab2eb9f944e7d93726057e3f073c8 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Background | South Africa is one of eight countries that collectively account for two thirds of the world TB disease burden. The annual TB incidence in 2019 was estimated to be 615/100 000. The TB prevalence in the country was estimated to be 737 per 100 000 and that 58% of people who had confirmed TB had abnormal chest x-rays. Bas... | South Africa is one of eight countries that collectively account for two-thirds of the world's TB disease burden. The annual TB incidence in 2019 was estimated to be 615 per 100,000. The TB prevalence in the country was estimated to be 737 per 100,000, with 58% of people who had confirmed TB showing abnormal chest X-ra... | ACCEPT | train |
da23fdde64254e82a5f29707752bc237 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Background | years living with HIV -Use of symptom screen including any one of cough, fever or poor weight gain; or chest radiography; or both in children < 15 years who are close contacts of a person with TB -Use of molecular WHO-recommended rapid diagnostic tests to screen for TB disease in adults and adolescents living with HIV ... | Years living with HIV:
- Use of symptom screening, including any one of cough, fever, or poor weight gain; or chest radiography; or both in children under 15 years who are close contacts of a person with TB.
- Use of molecular WHO-recommended rapid diagnostic tests to screen for TB disease in adults and adolescents ... | ACCEPT | train |
7667f277d71a49888fb3743ae5252d39 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Purpose | The purpose of this document is to outline the process and procedure for quality TB screening and early identification of patients who require TB testing to minimize avoidable delays in diagnosis and treatment thus reducing TB transmission. 4 WHO Consolidated Guidelines on Systematic Screening for TB disease, 2021 | The document outlines the process and procedure for quality TB screening and early identification of patients who require TB testing to minimize avoidable delays in diagnosis and treatment, thereby reducing TB transmission.
Reference: WHO Consolidated Guidelines on Systematic Screening for TB Disease, 2021. | ACCEPT | train |
43a09d69dcc140e980e51daabef22638 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Scope | This SOP details screening and testing processes for TB, describes the procedures for triaging patients to testing and linking them to treatment in health facilities and at community levels. | This SOP outlines the screening and testing processes for tuberculosis (TB), detailing the procedures for triaging patients for testing and linking them to treatment in health facilities and community settings. | ACCEPT | train |
3cd92cc91d544a639d0cc1219445271a | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Objectives | The objectives of this document are to: • To improve the quality of TB symptom screening services • To provide guidance on the universal TB testing of high-risk groups • To provide health care workers with operational information on delivery of TB screening and testing services. | The objectives of this document are to improve the quality of TB symptom screening services, provide guidance on universal TB testing for high-risk groups, and offer health care workers operational information on the delivery of TB screening and testing services. | ACCEPT | train |
88ab4aeb17214a8fae33cfbad9d133d3 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Applicable Legislation, Policies and Guidelines | • National Health Act 61 of 2003 as amended, and regulations issued in terms of the Act • The National TB Management Guidelines, 2014 • Guidelines for the Management of TB in Children, 2013 • Management of Rifampicin-Resistant TB Booklet, 2019 V6 • Policy Framework and Strategy for Ward based Outreach Teams 2018/19 -20... | National Health Act 61 of 2003, as amended, and regulations issued in terms of the Act
National TB Management Guidelines, 2014
Guidelines for the Management of TB in Children, 2013
Management of Rifampicin-Resistant TB Booklet, 2019
Policy Framework and Strategy for Ward-Based Outreach Teams 2018/19 - 2023/24 ... | ACCEPT | train |
854e0d924a7c440c91875bb66a7bdc94 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Target Population | The intended audience for this SOP includes the management and operational staff of clinical and community outreach settings who will be conducting the screening, testing. These include the following: | The intended audience for this SOP includes the management and operational staff of clinical and community outreach settings who will be conducting screening and testing for tuberculosis (TB). | ACCEPT | train |
84ed4e26d8eb4b7a99d96ff3b9c22089 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Roles and responsibilities | The table below outlines the roles and responsibilities of key personnel in providing TB screening and testing services. Table 1: Roles and Responsibilities of staff, managers and partners | The table below outlines the roles and responsibilities of key personnel in providing TB screening and testing services.
**Table 1: Roles and Responsibilities of Staff, Managers, and Partners** | ACCEPT | train |
5dc4966857304becad8dd4f1b989f30f | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Medical Officer/ Nurse | • Conduct TB screening of patients. • Clinical assessment of patients • Collect specimens from all eligible patients for TB testing. • Ensure all specimens collected are correctly labelled. • Complete the laboratory request forms. • Ensure the patient is given the next appointment date for follow up • Follow up patient... | - Conduct TB screening of patients.
- Perform clinical assessments of patients.
- Collect specimens from all eligible patients for TB testing.
- Ensure all specimens collected are correctly labeled.
- Complete the laboratory request forms.
- Provide the patient with the next appointment date for follow-up.
- Foll... | ACCEPT | train |
a4bf62be94dd4a0c8b2cf5b146dd78f8 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Staff category | Roles and responsibilities CHW • Conduct TB screening of patients. • Collect specimens from all eligible patients for TB testing. • Ensure all specimens collected are correctly labelled • Follow up patient results. • Trace and refer patients for results. • Complete the community outreach forms and registers Data Captur... | **Roles and Responsibilities**
**Community Health Worker (CHW)**
- Conduct TB screening of patients.
- Collect specimens from all eligible patients for TB testing.
- Ensure all specimens collected are correctly labeled.
- Follow up on patient results.
- Trace and refer patients for results.
- Complete comm... | ACCEPT | train |
318d85fe844c4141b155f4c96278f376 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Facility level screening | This applies to screening conducted in health facilitiesclinics (fixed, mobile), and community health centers. 2. Explain the purpose and the actual screening process to the patients. 3. Explain that the screening will take approximately five minutes to conduct. 4. Patients should be offered the option to self-screen b... | This applies to screening conducted in health facilities, clinics (fixed and mobile), and community health centers.
1. Explain the screening process to the patients, including that it will take approximately five minutes to conduct.
2. Patients should be offered the option to self-screen by completing the screening... | ACCEPT | train |
8ef3cce97e6b4884894fb1212f18caec | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Hospital level screening | This applies to screening in hospital outpatient departments and wards (including mental health facilities, excluding TB hospitals). Routinely asking patients about TB symptoms and triaging them to urgent testing by laboratory whilst patients are waiting in the OPD clinics will result in early TB detection and reduce r... | This document pertains to screening for tuberculosis (TB) in hospital outpatient departments and wards, including mental health facilities, but excluding TB hospitals. Routinely asking patients about TB symptoms and triaging them for urgent laboratory testing while they wait in outpatient clinics will facilitate early ... | ACCEPT | train |
c149906c5307468dac7f84b61a23f182 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Risk Assessment | To assess the patient's risk of developing TB, medical history must be obtained from the Screen for TB and Covid-19 symptoms No symptoms present Negative Screen Provide routine care TB symptoms only present Collect sputum specimen for testing Both TB and Covid-19 symptoms present Collect sputum sample for testing Colle... | To assess the patient's risk of developing TB, the following steps should be taken based on the presence of symptoms:
1. If no symptoms are present, provide routine care.
2. If only TB symptoms are present, collect a sputum specimen for testing.
3. If both TB and Covid-19 symptoms are present, collect a sputum specime... | ACCEPT | train |
86fef7ef939b42c895d75dd2198164bf | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Nebulized sputum induction and collection | Nebulisation is recommended for patients who have dry, non-productive cough. -A N95/ FFP2 respirator masks must worn by healthcare personnel for coughproducing procedures. -Place approximately 5 mL of 3% saline into the hand-held nebulizer. -Set the flow at 6-8 L/min and nebulize saline for 7-10 minutes or until sputum... | Nebulisation is recommended for patients with a dry, non-productive cough. An N95 or FFP2 respirator mask must be worn by healthcare personnel during cough-producing procedures.
To perform nebulisation, place approximately 5 mL of 3% saline into the hand-held nebulizer. Set the flow rate to 6-8 L/min and nebulize the... | ACCEPT | train |
4379e93c7f244e2faaec05f1bf5e7e5b | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Post sputum collection | -Put on gloves. -Check if the sample is adequate and that the container is tightly closed. At least 5ml of sputum must be collected if less request the patient to produce more. -Peel-off one of the pre-printed barcoded labels from the Laboratory request form and place horizontally on the specimen container -Complete th... | Put on gloves. Check if the sample is adequate and that the container is tightly closed. At least 5 ml of sputum must be collected; if less is collected, request the patient to produce more. Peel off one of the pre-printed barcoded labels from the laboratory request form and place it horizontally on the specimen contai... | ACCEPT | train |
bbdd78e1ea86482081ee35381f781130 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | Unsuccessful | The test was unsuccessful. This may be due to poor quality specimen or technical causes. The test should be repeated on a newly collected specimen The GeneXpert MTB/RIF Ultra assay was unsuccessful. Please submit a second specimen for repeat GeneXpert testing. atient is atient is Clinically assess the client Conduct ch... | The test was unsuccessful, possibly due to a poor quality specimen or technical issues. The GeneXpert MTB/RIF Ultra assay was unsuccessful. Please submit a second specimen for repeat GeneXpert testing.
Clinically assess the client and conduct a chest X-ray where available. If the client completed TB treatment within ... | ACCEPT | train |
bfeafdb37d6b4f9a998341fa974f2af6 | TB-SCREENING-AND-TESTING-SOP-2022.pdf | placed in one bag with the relevant request form/s.... | placed in one bag with the relevant request form/s. -Inform the patient on estimated date of results and how these will be communicated. -Provide a follow up appointment date for TB results. | Place the samples in one bag with the relevant request form. Inform the patient of the estimated date of results and how these will be communicated. Provide a follow-up appointment date for TB results. | ACCEPT | train |
ad24760e459d492fb705be9eec236f6f | TB-SCREENING-AND-TESTING-SOP-2022.pdf | TB tests conducted. | The following laboratory tests are available: 1. Nucleic Acid Amplification tests (NAATs) • Xpert MTB/RIF Ultra • All clients entering the health facility must be screened for symptoms of TB and Covid-19 • Where available, a chest x-ray may be conducted for people without TB symptoms to screen for TB • People who prese... | The following laboratory tests are available:
1. Nucleic Acid Amplification Tests (NAATs)
- Xpert MTB/RIF Ultra
All clients entering the health facility must be screened for symptoms of TB and COVID-19. Where available, a chest X-ray may be conducted for individuals without TB symptoms to screen for TB.
Individu... | ACCEPT | train |
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