Forms used in recording and reporting can be found in the appendices. They are intended to be examples that programmes or country can use to produce their own forms.
17.3.1 Drug-susceptible TB treatment card and drug-susceptible TB register
Drug-susceptible TB treatment card and drug-susceptible TB register (Appendix 23 and Appendix 24) are used for all new patients or previously treated patients treated by standard first-line regimens (with or without confirmation of the drug susceptibility by a DST).
17.3.2 DR-TB treatment card and DR-TB register
DR-TB treatment card (Appendix 25) tracks, in particular, each dose of each drug taken during the full course of treatment. The number of actually observed doses and the number of expected observed doses are reported each month. In addition to the treatment card, it is recommended to keep a medical chart with a full admission note at the time of enrolment and a progress note at each medical encounter.
DR-TB register (Appendix 26) includes data on case definition, bacteriological exams (indicate date of specimen collection and not the date of result), type of treatment and treatment outcome. It is a separate register from the drug-susceptible TB register.
Each DR-TB patient detected should be registered, including patients who refuse treatment. Transfer of patients from the drug-susceptible TB register to the DR-TB register is done usually while on treatment when DST results are available. Patient’s outcome is reported as ‘treatment adapted’ in the comment row of the drug-susceptible TB register (Appendix 24).
17.3.3 Laboratory request form(s) and register(s)
– Request form for microscopy and Xpert MTB/RIF (Appendix 27);
– Request form for sputum culture, LPA and DST (Appendix 28);
– Sputum smear microscopy register (Appendix 29);
– Xpert MTB/RIF register (Appendix 30).
The Drug-O-Gram is a summary of the patient’s treatment history. It includes consecutive DST and treatment changes presented in a chronological order and gives a short summary of the patient status (Appendix 31).