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editorial
. 2017 Dec 5;10:6–8. doi: 10.1016/j.jctube.2017.11.002

Table 1.

Specific case presentations of tuberculosis by standardised patients in Satyanarayana et al. [7] and Miller and Goodman [6].

Satyanarayana et al 2016 (Lancet case 1) Miller and Goodman 2017 (BMJGH case) Satyanarayana et al 2016 (Lancet case 2)
Case presentation (opening statement by the simulated patient) `I have cough and fever that is not getting better. Please give me some medicine' `I have had cough and some fever for 3–4 weeks. We have had a relative staying with us who has TB. Can you suggest something?' `I am having cough for nearly a month now and also have fever.' While showing a positive sputum report to the chemist, the patient continues, ‘I went to the government dispensary and they asked me to get my sputum tested. I have this report. Can you please give me some medicine?’
Definition of ‘correct’ management Verbal or written referral to a DOTS centre or a health-care provider without dispensing any antibiotics (including anti-tuberculosis drugs and fluoroquinolones) or steroids Referral to TB clinic or other healthcare provider for sputum examination. No sale of antibiotics (including anti-TB medication) or steroids Verbal or written referral to a DOTS centre or a health-care provider without dispensing any antibiotics (including anti-tuberculosis drugs and fluoroquinolones) or steroids