2
Introduction
Learning Objectives
Recognizing Persons And Groups At High Risk For Tuberculosis
Identifying People to be Further Evaluated for Tuberculosis
Evaluating Patients Presenting with Symptoms Suggestive of TB
Medical History and Physical Exam
Screening and Diagnostic Tests
Collecting Sputum for Smear Examination
Point of Care Testing
Other Sputum Collection Methods
Case Detection of Tuberculosis and HIV
People with Suspected Drug-Resistant TB
Pediatric Diagnosis
Case Reporting
Contact Investigation
Target Groups for Isoniazid Preventive Therapy
Summary Module 2
Diagnosis of Tuberculosis
Main Menu
MODULE 0 - Introduction
MODULE 1 - Etiology and Pathogenesis of Tuberculosis
MODULE 2 - Diagnosis of Tuberculosis
MODULE 3 - Treatment of Patients with TuberculosisIntroduction
MODULE 4 - Special Situations
MODULE 5 - Adherence to Treatment
MODULE 6 - Patient-Physician Communication
MODULE 7 - Tuberculosis Infection Control
2.13
Other Sputum Collection Methods
b
Gastric aspiration
Performed by inserting a tube through the patient’s nose and introducing it into the stomach.
Generally performed only when a sample cannot be obtained through expectoration or induction.
Usually performed in the morning as the patient tends to swallow sputum during the night.
Most often used for children although children who can produce sputum should go through sputum induction.
It is recommended that children should not have had food intake for 2-3 hours.
For logistic reasons gastric aspiration is usually carried out in a hospital setting or in a procedure room that has the necessary materials.