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 |