|Audit: Outpatient Management of Active Pulmonary Tuberculosis (TB) in Respiratory Department in Mater Misericordiae University Hospital
|D. Halim A. Asis SA. Affendi F. Browne B. McCullagh
|Mater Misericordiae University Hospital
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|CF and Pulmonary Infections
|Tuberculosis (TB) is a treatable condition requiring prolonged course of antimicrobials. A comprehensive outpatient management is paramount to ensure completion and prevent the emergence of Multi-Drug Resistant (MDR) TB. This audit is aimed to establish our institution’s current practice against the standard outlined by the European Union Standard TB Care (ESTC, 2017).
We collated data of patients diagnosed with active Pulmonary TB who had completed follow up in our institution from 2017 to 2020. A total of 40 patients were included in the audit. The main standards of comparison include Drug Sensitivity Testing (DST) and choice of antimicrobial treatment, HIV testing, and the documentation of treatment tolerance i.e. liver profiles and medications side effects.
This audit shows that our institution achieved 100% for DST and antimicrobial treatment option. However, HIV testing and documentation of treatment tolerance were completed in only 50% and 95% of the patients respectively.
This audit shows that our institution has yet to achieve the standard care of the active Pulmonary TB outpatient management. Pro forma is being developed to be used in the follow up outpatient clinic. This will act as documentation and reminder.