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Packaging - Significance
Learning ObjectivesWhy Packaging is required- Loose drugs received, DR-TB PWMB to be prepared at state-level based on treatment regimen(age and weight of patient)
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Packaging involves the process of packing loose second-line anti-TB drugs into one-monthly Patient-wise Boxes (PWBs) also known as the standardised drug boxes for shorter, longer Multidrug/ Rifampicin-resistant TB (MDR/RR-TB) and for H-mono/ poly Drug-resistant TB (DR-TB) regimen.
- The drug box preparation is preferably done at the State Drug Store (SDS) level. However, in states that have built the capacity of districts, the exercise of preparation of standard PWBs may also be conducted at District Drug Stores (DDS) under the guidance and supervision of the District TB Officer (DTO).
- The DDS is supplied monthly PWBs as per the standard regimens as well as loose medicines for replacement.
- Under certain circumstances, the drug box may also be prepared at the district level, like unpacking of unused/ partially used boxes and modification of regimen as per replacement advised by the DR-TB centre.
Resources
- Guidelines for Programmatic Management of Drug-resistant Tuberculosis in India, NTEP, Central TB Division, Ministry of Health and Family Welfare, Government of India, 2021.
- Standard Operating Procedure Manual Procurement & Supply Chain Management, Central TB Division, Ministry of Health and Family Welfare, Government of India.
Assessment
Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of Pre-test | Part of Post-test |
Which DR-TB regimen has only one standard PWB prepared for the entire duration of treatment? | Shorter oral Bdq-containing regimen | Longer oral M/XDR regimen | H - mono/ poly DR-TB regimen | None of the above | 3 | In comparison to other DR-TB regimens, a full treatment course should be prepared for the entire duration of 6 months. | | Yes | Yes |
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