MODULE C
5.1.1 Present cases for determination of outcome (cured, completed and failed) to the Consilium using the Consiliumex. The clinical history of each patient who has fulfilled the ‘cured’, ‘treatment completed’ or ‘failed’ definition must be reviewed by the Consilium for approval of the final treatment outcome. The treating physician will fill out the discussion section of the Consiliumex and present the case to the Consilium as shown in the example below.
CONSILIUM DISCUSSION 010 – RECOMMENDATION ON TREATMENT OUTCOME TREATMENT OUTCOME AND SCHEDULE OF FOLLOW-UP EXAMINATIONS INTENSIVE PHASE
Inclusive dates
CONTINUATION PHASE
Inclusive dates
TREATMENT OUTCOME
Cured
FOLLOW-UP EXAMINATIONS
Oct 24, 2005 May 09, 2006
May 10, 2006 May 10, 2007
DATE OF LAST DOSE
DATE
Latest regimen
Z Km Ofx Pto Cs
Latest regimen
Ofx Pto PAS
May 10, 2007
REASON
EXAMINATIONS
1ST FOLLOW-UP
Nov 10, 2007
DSSM, CULTURE, CHEST X-RAY
2ND FOLLOW-UP
May 10, 2008
DSSM, CULTURE, CHEST X-RAY
3RD FOLLOW-UP
Nov 10, 2008
DSSM, CULTURE, CHEST X-RAY
4TH FOLLOW-UP
May 10, 2009
DSSM, CULTURE, CHEST X-RAY
Satisfied Criteria for cure
OTHERS
COMMENTS:
CONSILIUM OFFICER
Ruth Orillaza - Chi, MD
DATE
May 3, 2007
5.2 Record final outcome on Category IV Treatment Card On the last page of the Category IV Treatment Card is a section to record the outcome. Note down the date of the designated outcome. For most patients, the date will be the day the last dose was taken. For patients with the interim outcome of transferred out, the final outcome will be noted on the last day of treatment at the Treatment Center that received the patient. Note that a patient cannot be classified as “Cured”, “Treatment Completed” or “Failed” unless the Consilium has approved the designation. A patient with MDR-TB who completed treatment but did not have the necessary number of negative culture exams examinations can be classified only as “Treatment completed.” Likewise a patient who had a negative culture at baseline (within 30 days before and within 7 days after start of Category IV treatment) and has remained culture-negative all throughout treatment can be classified only as Treatment completed”. A patient who has stopped coming for treatment for 2 consecutive months and cannot be located or cannot be convinced to resume treatment is classified as “Defaulted”. Therefore, do not mark this treatment outcome on a patient’s card until a patient has missed treatment for 2 consecutive months. The date when the last dose was given should be recorded as the date of the outcome. When you transfer a patient from one treatment center to another treatment center to continue treatment, record the date and mark the outcome “Transferred out” on page 4 of the Category IV Treatment Card. You will inquire later about the treatment outcome of that patient from the Treatment Center that received the patient. When you learn the patient’s outcome from the receiving Treatment Center, record the final treatment outcome and the date of that outcome on the Category IV Treatment Card. Only if you cannot determine another outcome will you leave the outcome “Transferred out” with the date of the transfer. Treat MDR-TB Patients
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