aDSM treatment initiation form

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.

Resources

• Guidelines on Programmatic Management of Drug-resistant TB (PMDT) in India, CTD, MoHFW, India, 2021.
• Guidelines on Programmatic Management of Drug-resistant TB (PMDT) in India, CTD, MoHFW, India, 2017.
• Active Tuberculosis Drug-safety Monitoring and Management (aDSM) - Framework for Implementation, WHO End TB Strategy, 2015.

Assessment