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Linked Node
Nodal DR-TB Centre Committee
Learning Objectives- Understand the roles and responsibilities of the Nodal DR-TB Centre Committee in managing drug-resistant tuberculosis (DR-TB).
- Composition of the committee
The Nodal Drug-resistant Tuberculosis Centre (NDR-TBC) committee is a clinical committee that is responsible for taking decisions regarding the management of DR-TB patients at the NDR-TBC.
The composition of the NDR-TBC committee is provided in the table below.
TITLE | DESIGNATED OFFICIALS |
---|---|
Chairperson | Medical Superintendent or Director of the institute |
Vice-chairperson | HoD Respiratory Medicine or General Medicine |
Nodal officer | Senior Doctor from the department hosting the NDR-TBC |
Member secretary | Senior Medical Officer- DR-TB centre |
Member | HoD Microbiology or IRL Microbiologist |
Member | HoD Psychiatry* |
Member | HoD Ob&Gy* |
Member | HoD ENT* |
Member | HoD Dermatology* |
Member | HoD Pharmacology |
Member | Cardiologist* or Physician |
Member | 1 Eminent Pulmonologist from NGO/ private sector |
Member | WHO NTEP Consultant |
Member | DTO of the district where NDR-TBC is located |
Special invitees | DTOs of the districts linked (as and when needed) |
*To be consulted physically or virtually as and when required. Abbr: HoD: Head of Department; IRL: Intermediate Reference Laboratory; Ob&Gy: Obstetrics and Gynaecology; ENT: Ear, Nose and Throat surgeon; NGO: Non-governmental Organisation, WHO: World Health Organisation, NTEP: National TB Elimination Programme, DTO: District TB Officer Note: The chairperson can co-opt other specialists as required. The routine clinical decisions can be taken by the available doctor and informed to the NDR-TBC in subsequent meetings. |
Functions of Nodal DR-TBC
- Periodically review the implementation status of PMDT in the respective nodal DR-TB centre to ensure that NTEP PMDT policies and guidelines are being followed.
- Coordinate with the IRL/ Culture and Drug Susceptibility Testing (C&DST) labs for Drug Susceptibility Testing (DST)/ Drug Resistance Testing (DRT) results and enter the details in Nikshay.
- Arrange for examination of DR-TB patients referred for their treatment eligibility, open treatment book and start PMDT regimen for all eligible patients.
- Admit DR-TB patients who may require the indoor facilities of the DR-TB centre.
- Arrange tele/ video consultation with relevant specialists on a case-to-case basis as well as with linked DDR-TBC to provide required clinical decision support.
- Empanel the private practitioners of various disciplines if the required specialist is not available in the public sector. In coordination with the respective State TB Officer (STO) and DTOs, ensure that drug ordering and distribution is managed in a timely and appropriate manner.
- Account for the review of record, report, Nikshay data entry.
- Monitor performance of DR-TB and PMDT in catchment geography using analysis of data from downloadable Nikshay reports and dashboard.
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Comments
Better to represent slide 3…
Dr. Priyadarshini Thu, 18/01/2024 - 12:35
Better to represent slide 3 as table rather than image