Content Status
Type
Linked Node
Approaches for TPT implementation
Learning ObjectivesThe learner will be able to describe the approaches for TPT implementation
There are two programmatic approaches for Tuberculosis Preventive Therapy (TPT) implementation:
1. Test-and-treat approach – This approach aims to detect TB infection among key groups for implementing TPT.
- After ruling out active TB, the beneficiary is tested for TB infection.
- TPT is offered only to those with a positive test (Interferon Gamma Release Assay (IGRA)/ Tuberculin Skin Test (TST)/ Cutaneous TB (C-TB))
2. Treat-only approach – For certain groups, like People Living with HIV (PLHIV) and House Hold Contact persons (HHC) < 5 years old, detecting TB infection is not required. Hence, this approach is given.
- After ruling out active TB, TPT is offered without testing for TB infection.
| Test and treat approach* |
|
| Treat-only approach |
|
*All efforts should be made to make IGRA available. However, TPT should not be withheld in case of non-availability of IGRA.
#PLHIV < 1 year old are offered TPT only if they are a household contact persons of an active TB case.
Resources
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 of the following category of TPT beneficiaries is offered TPT without IGRA testing? | Household contact persons of sputum positive PTB >/= 5 years old | PLHIV | Patient on dialysis | Silicosis patient | 2 |
PLHIV and HHC of sputum positive PTB < 5 years old are offered TPT without testing for IGRA. This is called Treat-only approach.
|
| Yes | Yes |
Content Creator
Reviewer
Target Audience
- Log in to post comments