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What is Which is not included in RNTCP - and explain in detail?
Ans. is 'a' i.e.. Active case finding Treatment stratvies in RNTCP o Under the RNTCP active case finding is not prusued. o Case finding is passive. o Patients presenting thremselves with symptoms suspicious of tuberculosis are screened through 3 sputum smear examination. o Sputum microscopic examination is done in designated RNTCP microscopy centres. o It is essential to examine 2 sputum specimens of each patient before a conclusive diagnosis can be made. o One sputum sample is not sufficient for diagnosis as the chance of detecting smear positive case is only RO% as compared to 93% with two samples and 100% with 3 samples. o If only 1 sputum smear is positive, chest x-ray helps in diagnosis (see next explanation). o Once the diagnosis is confirmed, treatment is staed according to DOTS (Directly observed therapy sho term). o Patient are expected to collect drugs once a month (not daily) on fixed dates from the nearest treatment centre.