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The Programmatic and Clinical Management of DR-TB Online course provides clinical officers, nurses, paramedical staff and other health workers with the knowledge and skills to effectively solve the most frequent challenges in the management of drug-resistant tuberculosis.
Learners receive a certificate at the end of the training if they validate the end of the training assessment.
Course content
Module 1: Epidemiology and diagnosis
- 1. Tuberculosis: who is the pathogen and what is the global burden?
- Introduction
- Knowing the pathogen
- Burden of DR-TB and major gaps in DR-TB control
- Conclusion
- 2. Natural history of TB and how resistance occurs
- Natural history
- Drug resistance: how it occurs and how it can be prevented
- What is driving drug resistance
- Conclusion
- 3. Diagnostic tests
- Introduction
- Specimen collection and transportation
- Diagnostic tests for TB and DR-TB
- Conclusion
- 4. Case finding strategies
- Introduction
- Case finding strategies
- Contact tracing
- Conclusion
- 5. Delivering DR-TB care through person-centered approach
- Introduction
- Support Interventions
- Treatment Delivery
- Role of the nurse
- Conclusion
Module 2: Clinical presentation and treatment
- 1. Clinical and radiological manifestations of TB
- Introduction
- Clinical Presentation
- Radiological Presentation
- Conclusion
- 2. DR-TB Treatment
- Introduction
- Medications used for DR-TB
- DR-TB regimens
- WHO recommendations for treatment of DR-TB
- Conclusion
- 3. Adverse Events Management
- Introduction
- Definitions
- Monitoring
- Adverse events clinical management
- Conclusion
- 4. DR-TB in specific populations - Part I
- DR-TB in HIV co-infected
- DR-TB and diabetes mellitus
- DR-TB in children
- DR-TB in pregnancy
- 5. DR-TB in specific populations - Part II
- DR-TB in children
- DR-TB in pregnancy
This Module contains an optional activity:
- Management of QT prolongation
- Management of peripheral neuropathy
- Management of hearing loss
- Management of optic neuritis
Module 3: Infection control, reporting and case studies
- 1. TB treatment outcomes and interpretation of data
- Introduction
- Outcome definition
- Use of recorded data for decision making
- Examples
- Conclusion
- 2. Infection control
- Introduction
- Importance of TB Infection control
- Administrative control measures
- Environmental control measures
- Personal protection
- Conclusion
- 3. Case study - Part I
- Case presentation 1-10
- 4. Case study - Part 2
- Case presentation 1-10
At the end of the training, participants will
- Understand the basics of TB care and prevention.
- Understand how drug-resistance develops, transmits and how it can be prevented.
- Know how TB and DR-TB are diagnosed.
- Know the basic elements of treatment of TB and DR-TB.
- Know how to monitor and manage adverse events and when to refer to a physician.
- Consider TB management in special cases: children, pregnant women, diabetes melitus and HIV co-morbidity.
- Can apply the basics of recording and reporting and TB data use for decision making in TB care and prevention.
Clinical officers, nurses, M&E and health information officers, TB program staff not directly involved in DR-TB clinical management
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Module 1: Epidemiology and diagnosis
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Module 2: Clinical presentation and treatment
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Module 2: Clinical presentation and treatment | Optional activity
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Module 3: Infection control, reporting and case studies
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Assessment and Evaluation
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