Requirements from Institutions for the Establishment of Nodal DR-TB Centre

The requirements from institutions for establishing Nodal Drug-resistant Tuberculosis Centres (NDR-TBCs)​ are as follows:

• It should preferably be a tertiary care institute. ​
• Separate wards for male and female patients (including children) should be available with at least 10 beds in each NDR-TBC. ​
• An outpatient clinic and a separate well-ventilated waiting area in an open-air, shaded area should be made available as per the Airborne Infection Control (AIC) guidelines. ​
• Administrative, environmental, and personal protective measures for airborne infection control should be placed in all indoor and outdoor facilities.
• All investigations under Pre-treatment Evaluation (PTE) and other Programmatic Management of Drug-resistant Tuberculosis (PMDT) services should be provided free of cost to the patient. ​
• Ancillary drugs should be provided for the management of Adverse Drug Reactions (ADRs) as per the NDR-TBC committee`s advice at no cost to patients.​
• Oxygen and ventilators should be available for patients needing critical care support.  ​
• The NDR-TBC committee should be formally established with the required set of experts as per the guidelines.​
• All experts at NDR-TBC must be trained in the latest PMDT guidelines. ​
• Doctors, nursing and support staff should be available from the institute. ​
• Records and reports should be maintained for PMDT. Nikshay entries must be done on a real-time basis with regular electronic updates.​
• Financial requirements must be availed through the institute/ state budgets or under National Health Mission (NHM).

Resources

• Guidelines for Programmatic Management of Drug-resistant TB in India, 2021.

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