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  • aDSM treatment initiation form

    Learning Objectives

    Describe the form, discuss key information to be covered, who will update? What is the importance?

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Under the National TB Elimination Programme (NTEP), as an integral part of the Programmatic Management of Drug-resistant TB (PMDT), the aDSM treatment initiation form is to be filled by the staff at the health facility during the treatment initiation of all DR-TB patients.

This form is available as annexure 32 in the PMDT guidelines 2021 and covers the following information:

  • Patient’s name, age, sex, Ni-kshay id, PMDT number, and date of interview
  • TB-related details - Type of TB, type of drug resistance, and previous history of TB treatment
  • Pregnancy and lactation-related details (if applicable)
  • History of addiction/ substance use
  • Current and past medical conditions/ events – with the date of onset and recovery (if applicable)
  • Details about the medication consumed in the past 30 days (both TB and traditional)
  • Details about medicines (other than anti-TB medicines) prescribed during the interview
  • Name of the treating facility, name of treating clinician and signature of the person reporting
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Figure: aDSM Treatment Initiation Form; Source: Guidelines on Programmatic Management of Drug-resistant TB (PMDT) in India, CTD, MoHFW, India, 2021.

Importance of aDSM Treatment Initiation Form

  • This form records the pre-treatment medical (including past TB history) history of the patients and hence helps the treating physician during the treatment initiation regarding the drugs being prescribed, additional care required, etc.
  • The form also helps as a document to refer back for making important medical decisions in the event of any adverse reactions (both serious and otherwise) reported by the patient during the course of the treatment.

 

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Assessment

Question Answer 1 Answer 2 Answer 3 Answer 4 Correct answer Correct explanation Page id Part of Pre-test Part of Post-test
When should the aDSM treatment initiation form be filled? When a DR-TB patient is initiated treatment When a DR-TB patient is lost to follow-up When ADR is reported by a DR-TB patient When a DR-TB patient completes treatment 1 The aDSM treatment initiation form is to be filled out by the staff at the health facility during the treatment initiation of all DR-TB patients.   Yes Yes

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