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The asymptomatic, sputum-negative TB patient: What does it mean for practice?

The asymptomatic, sputum-negative TB patient: What does it mean for practice?. Carl Abelardo T. Antonio , MD, MPH Asst. Prof. of Health Policy & Administration ctantoniomd@gmail.com.

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The asymptomatic, sputum-negative TB patient: What does it mean for practice?

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  1. The asymptomatic, sputum-negative TB patient: What does it mean for practice? Carl Abelardo T. Antonio, MD, MPH Asst. Prof. of Health Policy & Administration ctantoniomd@gmail.com

  2. To determine the prevalence of asymptomatic, sputum-negative TB patients presenting in a primary care facility in a highly-urbanized city in the Philippines. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 PURPOSE

  3. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 METHODOLOGY:Records review * Diagnosed through quality-assured sputum smear microscopy. ** Based on chest x-ray findings

  4. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 Prevalence: 49 per 100,000 population * As defined in the Manual of Operations (2005) of the Philippine National Tuberculosis Program, a symptomatic case is one who presents with two or more weeks of cough.

  5. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 Policy and practice implication:Are we missing cases in the public health sector?

  6. Asymptomatic, sputum-negative TB patients present a considerable practice challenge, especially in resource-constrained settings where bacteriologic confirmation through sophisticated tests may not be readily available. Clinicians and primary care providers must, therefore, possess a high index of suspicion and should utilize the best available evidence to determine whether these class of patients warrant treatment or not. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 CONCLUSION

  7. Asymptomatic TB patient || Dr CT Antonio || 9th ISRD 2013 || Shanghai, China || 10 Nov 2013 COMMENTS OR QUESTIONS? Email me at ctantoniomd@gmail.com NEXT STEPS ACKNOWLEDGEMENTS Study site (Pasay City, Metro Manila, Philippines: Dr. Cesar F. Encinares (City Health Officer), Dr. Ma. Lourdes C. San Juan and Dr. Manuel G. Dubongco (former manager and current manager, respectively, of the local National Tuberculosis Program), and staff of DoñaNena Health Center. Assistance for this presentation was extended by the Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila.

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