When available, use the recording tools (e.g. registers, treatment cards) of the national TB programme. If not available, examples are provided in the appendices.
17.2.1 Tuberculosis registers
Any patient diagnosed with TB by a clinician should be recorded in a TB register. An individual registration number must be assigned to the patient. This number is determined by the order in which the patient enters the TB register.
For an example of DS-TB and Hr-TB register, see Appendix 31.
For an example of MDR/RR-TB register, see Appendix 33.
Wherever possible, an electronic register should be used for MDR/RR-TB.
Patients with pre-XDR-TB and XDR-TB are recorded in the MDR/RR-TB register.
If a patient recorded in the DS-TB and Hr-TB register is reclassified as an MDR/RR-TB patient (i.e. resistance to rifampicin undetected at baseline), the patient should be re-recorded in the MDR/RR-TB register with a new registration number. The transfer to the MDR/RR-TB register should be indicated in the DS-TB and Hr-TB register (in the column "Notes") with the new MDR/RR-TB registration number.
17.2.2 Tuberculosis treatment cards
For any patient starting TB treatment, an individual treatment card should be established.
For an example of DS-TB and Hr-TB treatment card, see Appendix 30.
For an example of MDR/RR-TB treatment card, see Appendix 32.
17.2.3 Drug-o-gram
For any patient on MDR/RR-TB treatment, a drug-o-gram should be filled in. The drug-o-gram is a sheet providing a brief overview of a patient’s bacteriological and clinical evolution on treatment. It does not replace the patient’s medical file that contains detailed information on clinical progress, treatment adverse effects, etc.
For an example of drug-o-gram, see Appendix 36.