There have been “major new advances” in diagnosis and treatment since the guidelines were first published.
Among the changes is to have more patients who are on directly observed therapy be supervised through live video instead of in person.
Commissioned by the Ministry of Health’s National Tuberculosis Programme, the guidelines are to standardise and improve the clinical management of TB infection and disease in Singapore, said the team.Patients with infectious TB, who make up the bulk of TB cases, are currently required by law to go personally to a polyclinic or the TB Control Unit at Tan Tock Seng Hospital to take their medications in front of a healthcare worker.
Patients are no longer infectious within days of starting TB treatment, but those who fail to complete their treatment can become infectious and spread the airborne bacteria.
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