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TUBERCULOSIS SURVEILLANCE SUMMARY RECORD Resident EmployeeDate of Admission /Employment:MonthDayYear / / IDENTIFICATION INFORMATION Name:Date of Birth: Social Security or I.D. Number: / / BASELINE
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How to fill out tuberculosis surveillance summary record

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How to fill out tuberculosis surveillance summary record

01
To fill out the tuberculosis surveillance summary record, follow these steps:
02
Begin by entering the patient's demographic information, including name, age, gender, and contact details.
03
Specify the date of diagnosis and the type of tuberculosis (e.g., pulmonary or extrapulmonary).
04
Provide details of the patient's treatment, including the start date, regimen, and duration.
05
Record any comorbidities or underlying medical conditions that may impact the patient's tuberculosis treatment.
06
Document the results of any diagnostic tests conducted, such as sputum smear microscopy, culture, or molecular testing.
07
Include information on any drug susceptibility testing performed and the results obtained.
08
Indicate the treatment outcome, whether the patient has completed treatment, is lost to follow-up, cured, treatment failure, or died.
09
Note any adverse events experienced by the patient during the course of treatment.
10
Include the contact information of the reporting facility or healthcare provider.
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Finally, review the record for accuracy and completeness before submitting it for surveillance purposes.

Who needs tuberculosis surveillance summary record?

01
The tuberculosis surveillance summary record is needed by healthcare providers, facilities, and public health agencies involved in the monitoring and control of tuberculosis.
02
It helps to track the incidence, prevalence, and treatment outcomes of tuberculosis cases in a specific population or region.
03
This information is crucial for planning and implementing effective tuberculosis control strategies, identifying areas of concern, and evaluating the impact of interventions.
04
Additionally, researchers and policymakers may also refer to these records to analyze trends, conduct epidemiological studies, and inform healthcare policies related to tuberculosis.
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Tuberculosis surveillance summary record is a report that contains information about tuberculosis cases and efforts to control the disease.
Healthcare providers, laboratories, and public health authorities are required to file tuberculosis surveillance summary record.
Tuberculosis surveillance summary record can be filled out by documenting relevant information such as patient demographics, diagnosis details, treatment information, and follow-up care.
The purpose of tuberculosis surveillance summary record is to track and monitor tuberculosis cases, identify trends, and guide public health interventions.
Information such as patient demographics, diagnosis details, treatment information, and follow-up care must be reported on tuberculosis surveillance summary record.
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