Difficult to Treat TB Clinic D3T
PMDT Guidelines 2021 recommends all states to start Difficult to
Treat TB Clinic (SD3T). All District TB
Officers, Medical Officers and Private Practitioners in the state can send
their difficult to manage drug resistance cases for discussion in the SD3T Clinic. Faculty from state academic institutes and
leading private practitioners are chosen experts for the session. The cases are referred to this clinic in the
PPT form in a standard pre-designed format.
This is assigned to one of the experts for their opinion. During the session, the referring doctor presents
the details of case history including medical and treatment history with all
the investigations and follow up details, and then presents the issues encountered
in managing the particular case. All the
participants (DTOs, MOs and Supervisors) of the state attending the session
also give their opinion and share their experience in managing such
cases. After this, experts give their
suggestions in managing the case. At the
end session coordinator prepares recommendations for the case management which
is sent to the doctor who presented the case.
In Delhi state, this SD3T is being conducted on Delhi state STDC
ECHO Hub and managed by the faculty of New Delhi TB Centre since August, 2011.
Actually from the start of STDC ECHO Hub in 2017, a case-based
clinical discussion for paramedical staff was being conducted every first
Wednesday of month. As per PMDT 2021
guidelines, now this has been renamed as SD3T clinic and now participants
include DTOs, MOs and private practitioners.
Second part of SD3T is didactics, usually related to the case presented
or any about latest aspect of TB management to be delivered by faculty of NDTB
Centre, medical colleges and other academic institutes of Delhi state.