QUARTERLY REPORT ON TUBERCULOSIS CASE FINDING IN BMU

Name of the Basic Management Unit: {{ $fetchClinicName['c_name'].' Hospital' }} BMU Tuberculosis Coordinator:_____________________ Patients registered in quarter: 1 of Year: {{ date('Y') }} Signature:________________________ Date:___/____/_____

1.All tuberculosis patients registered in quarter*

Pulmonary TB: bacterialogically confirmed			Pulmonary TB: clinically diagnosed			Extrapulmonary TB: bacterialogically confirmed or clinically diagnosed			Total
New cases	Relapse	All previous treated**	New cases	Relapse	All previous treated	New cases	Relapse	All previous treated
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*Sputum smear microscopy or rapid molecular test

2. All new and relapse tuberculosis patients registered in the quarter (Confirmed and clinically diagnosed, pulmonary and extrapulmonary)

Age group (Years)								TOTAL
0-4		5-14		15-24		25-34					35-44		45-54		55-64		65+
M	F	M	F	M	F	M	F	Male	Female	Toatal
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3. TB-HIV

Number of patients with known HIV status	Number of HIV infected	Number on ART	Number on CPT
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4. People with presumptive tuberculosis registered by type of diagnostic sputum test

Number of TB patients registered	Number on health facility-based DOT	Number on community-based DOT/DOT by trained family member	Number not on DOT
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5. People with pulmonary tuberculosis by history of previous treatment and type of diagnostic sputum test

Number registered(all TB cases)	Cured + treatment completed (treatment success)	Failure	Moved to MDR-TB treatment	Died	Lost to follow-up	Transfered out	Not evaluated
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