Question weight | Score | |
Component 1: Medical history | ||
Investigation previous TB diagnosis | 4.4±0.6 | 18 |
Investigation previous DST | 4.5±0.7 | 18 |
Investigation previous treatment | 4.6±0.6 | 18 |
Investigation contacts | 3.3±1.1 | 13 |
Section score (maximum 67); possible interpretation | ||
>53; no major gaps | ||
53–35; some critical gaps needing action | ||
<35; major gaps | ||
Component 2: Diagnosis | ||
Diagnostic algorithm | 4.1±1 | 16 |
Microbiology | 4.9±0.4 | 20 |
Other examinations | 3.5±0.9 | 14 |
Final decision | 4.6±0.9 | 18 |
Section score (maximum 68); possible interpretation | ||
>53; no major gaps | ||
53–38; some critical gaps needing action | ||
<38; major gaps | ||
Component 3: Treatment | ||
TB regimen choice (four active drugs ensured) | 4.9±0.4 | 19 |
Dosage | 4.9±0.4 | 20 |
Duration | 4.9±0.3 | 20 |
Management adverse events TB treatment | 4.5±0.8 | 18 |
HIV regimen choice | 3.7±1 | 15 |
Management adverse events HIV treatment | 3.5±1.1 | 14 |
Section score (maximum 105); possible interpretation | ||
>91; no major gaps | ||
91–76; some critical gaps requiring action | ||
<76; major gaps | ||
Component 4: Treatment monitoring | ||
Necessary examinations performed | 4.5±0.7 | 18 |
Section score (maximum 18); possible interpretation | ||
18; no major gaps | ||
0; major gaps | ||
Component 5: Outcome | ||
Correct outcome assigned | 4.7±0.5 | 19 |
Section score (maximum 19); possible interpretation | ||
19; no major gaps | ||
0; major gaps | ||
Component 6: Infection control | 3.7±1.2 | 15 |
Administrative measures adequate | 4.1±1.1 | 16 |
Environmental measures adequate | 3.6±0.9 | 15 |
Infection control committee | 4±1 | 16 |
Surveillance system for drug-resistance in the setting | 4.5±1 | 18 |
Staff personal protective measures adequate | 3.9±1.3 | 16 |
Cough etiquette | 4.2±1.2 | 17 |
Availability of respirators | 4.4±0.9 | 17 |
Training of the staff on infection control | 4.4±0.9 | 17 |
Section score (maximum: 129); possible interpretation | ||
>114; no major gaps | ||
114–99; some critical gaps requiring action | ||
<99; major gaps |
Data are presented as score or mean±sd. TB: tuberculosis; DST: drug susceptibility testing; Question mean weight: value assigned by expert opinion to the given question in a scale from 1 to 5; Score: actual value of each question composing case management survey tool, at the end of each section of the tool a guide for the possible interpretation of the score achieved by managing each individual case is given. The Section score is designed to guide interpretation of the score sum obtained for every item/question included in Part 3 of the tool. In case of a positive assessment (the activity was managed according to the established guidelines) the maximum score will be given. Zero is assigned in case of a negative assessment.