Transcript Croydon TB Service 2014 - Croydon Health Services NHS Trust

CROYDON TB SERVICE
ANNE SMITH
ROSEMARY KHAN
JANET CAMARA
ROSHAN SOOBRATTY
YVETTE BAILEY
Lead TB Nurse Specialist
TB Nurse Specialist
TB Case Worker
TB Nurse Specialist
TB Administrator
Vulnerable groups in urban settings
• High-risk groups:
- Refugees, asylum seekers, migrants
No recourse to public funds
- Homeless people.
Sofa surfing
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Prisoners
Drug Abuse
Alcoholic
HIV-seropositive
Children
Elderly
Expected benefits
• Reduce stigma and increased awarenessearlier presentation by TB patients.
• Increased awareness by health care
professionals- reduced times for diagnosis and
referral.
• Improved understanding and support of TB
patients and their families.
DOT
• Offered to all patients who require Enhanced Case
Management
INPATIENTS
• Support for diagnostic tests(i.e mantoux test and sputum
specimen) and discharge plan.
PAEDIATRICS
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Working with infectious diseases paediatrician.
RAISING AWARENESS
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Community Groups.
Places of worship.
Colleges.
Health care workers.
CONTACTS SCREENING
• Screening usually take place approx. 6 weeks after an
index case has been identified.
Latent TB infection
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Individuals with latent TB are at increased risk of developing active TB, especially if
they are recently infected or immunocompromised.
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The systematic screening and treatment of individuals with LTBI is therefore
expected to significantly decrease the incidence of TB in England.
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Collaborative Tuberculosis Strategy for England consultations (2014), recommend
to offer LTBI screening to new entrants who were born or lived in countries with an
estimated TB incidence of 150 per 100,000 or over and who arrived in the UK
within the last five years
4/8/2015
CROYDON INCIDENCES:•
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College.
Hospital.
Khat house.
GP practice.
OCCUPATIONAL HEALTH
• Detection of active or latent TB.
• Gives BCG vaccination if unvaccinated and Mantoux
negative.
MEETINGS
• COHORT REVIEW
• SWL SECTOR MEETING
• SWL EDUCATIONAL MEETING
• LONDON TB WORKFORCE GROUP.
In summary
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TB is here and increasing
Awareness, awareness, awareness.
Ease of referral
Work together
Improve.
How to contact
• Telephone number: 020 8401 3140
• Fax number:
020 8401 3460
• TB Administer:
020 8401 3861
• Clinic Reception: 020 8401 3135
Information regarding the Tb service can be
found on the CUH intranet website.