New patients, no history of TB patients with a history of TB treatment, patients

treatment, no history of close contact with a history of close contact with RO-TB patients,
with RO-TB patients, patients with patients with HIV (+)
HIV (-) or unknown HIV status

Clinical Examination and Bacteriological Examination

with a microscope or a molecular rapd test (TCM)

Not have access for TCM Have access for TCM

Microscope BTA TCM Examination

examination
MTB Pos,
rif MTB Pos, Rif MTB pos,
(- , -) Indeterminate Rif MTB Neg
(+ . +) Sensitive
Resistance
(+ , -) Chest X-Ray
Repeat TCM RR TB (Following the same
Chest X- Non OAT Bacterial
algorith as the
Ray Antibiotic Confirmed TB algorithm on the
s therapy Start TB RO treatment: do culture
smear negative
and sensitivity test OAT Line 1 and microscopic
1st Line Treatment Line 2 examination results (-
Most likely Most likely ))
TB not TB; not RR TB; TB TB Pre
TB; find MDR XDR TB XDR
another
possible Continue TB Treatment for TB RO with
disease RO Treatment new alloy

No clinical Clinical
improvement, no improvement
TB risk factors,
and physician'
considerations
Not TB, find
another possible The Additional examination for all patient with confirmed
disease TB by bacterial or clinical are HIV and Blood glucose. Other
Clinical examination will be performed as indicated such as Liver
Confirmed TB function, renal function etc.

1st Line TB
treatment