{"presentation":{"slides":[{"elements":[{"x":2.1748692810457517,"y":6.49123110151188,"width":92.0479302832244,"height":49.676025917926566,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Most of the individuals enrolled on TPT would be relatively healthy<\/li>\n\t
May not feel the need to take medications regularly<\/li>\n\t

May choose to stop treatment due to an unaddressed adverse event, there could be instances these individuals may miss taking doses.<\/li>\n<\/ul>\n\n

All efforts must be made by the health-care providers, the family and community members to ensure that TPT is regularly monitored and the interrupters are promptly identified and brought back to treatment. The management of TPT interruptions are given in the table:<\/p>\n"},"subContentId":"ed25168e-7ce3-4703-baf3-f1b63de34632","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.178649237472767,"y":0,"width":95.86056644880175,"height":99.35205183585313,"action":{"library":"H5P.Table 1.1","params":{"text":"

\n\n\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\t

TPT regimen<\/th>\n\t\t\t

Duration of interruption<\/th>\n\t\t\t

Management steps<\/th>\n\t\t<\/tr>\n\t<\/thead>\n\t

6H, 6Lfx, 4R<\/td>\n\t\t\t

Less than 2 weeks<\/td>\n\t\t\t

Resume TPT immediately<\/span><\/strong> upon return and add the number of days of missed doses to the total treatment duration.
\n\t\t\t
\n\t\t\tDo not change the scheduled date of the next follow-up visit but the last follow-up visit will be postponed<\/strong><\/span> by the number of extra-days to compensate for missed doses (e.g. If a child on 6H missed 3 days of treatment, continue TPT for a total duration of 6 months + 3 days from the date of start)<\/td>\n\t\t<\/tr>\n\t\t

More than 2 weeks<\/td>\n\t\t\t

If treatment interruption occurred after more than <\/strong>80% of doses expected in the regimen<\/strong><\/span> were taken, continue and complete the remaining treatment doses in the course.
\n\t\t\t
\n\t\t\tIf less than 8<\/strong>0% of doses expected in the regimen<\/span><\/strong> were taken, and the treatment course can still be completed within the expected time for completion<\/strong><\/span>, i.e. treatment duration + 33% additional time<\/span><\/strong>, continue and complete the remaining treatment doses in the course.
\n\t\t\t
\n\t\t\tIf less than 80% of doses expected in the regimen<\/strong><\/span> were taken, and the treatment course cannot be completed within the expected time for completion<\/span><\/strong>, consider restarting<\/strong><\/span> the full TPT course.<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n<\/div>\n"},"metadata":{"contentType":"Table","license":"U","title":"Untitled Table"},"subContentId":"54cfe4aa-5ad7-48d5-a434-317ae066cd18"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.178649237472767,"y":0,"width":95.86056644880175,"height":90.71274298056156,"action":{"library":"H5P.Table 1.1","params":{"text":"\n\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\t
TPT regimen<\/th>\n\t\t\t Duration of interruption<\/th>\n\t\t\t Management steps<\/th>\n\t\t<\/tr>\n\t<\/thead>\n\t
3HP<\/td>\n\t\t\t Weekly schedule of up to 3 doses missed<\/td>\n\t\t\t If the missed dose is remembered within 2 days of scheduled day<\/strong><\/span>, the person can take the dose immediately and continue to take remaining doses following the same schedule to complete the course.
\n\t\t\t
\n\t\t\tIf the missed dose is remembered after 2 days<\/strong>,<\/span> the person can take the missed dose immediately and change the schedule<\/span><\/strong> for weekly intake to the day the missed dose was taken until treatment completion. This will avoid two weekly doses being taken less than 4 days apart.
\n\t\t\t
\n\t\t\tIf between 1\u20133 weekly doses<\/span><\/strong> are missed<\/strong><\/span>, treatment is continued until all 12 doses are taken, thus prolonging the treatment duration to a maximum of 16 weeks<\/strong><\/span>.<\/td>\n\t\t<\/tr>\n\t\t
More than 3 weekly doses of 3HP missed<\/td>\n\t\t\t If 4 or more weekly doses are missed<\/strong><\/span>, consider restarting<\/span><\/strong> the full TPT course.
\n\t\t\t
\n\t\t\tIf adherence to a weekly routine is not possible, consider discontinuing 3HP and offering an alternative (daily)<\/strong><\/span> regimen.<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n"},"metadata":{"contentType":"Table","license":"U","title":"Untitled Table"},"subContentId":"92590556-949c-4ece-a8d6-e14fdb3d847c"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":14.161220043572985,"y":2.159827213822894,"width":70.80610021786492,"height":95.24838012958963,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-645f30bab9a0f.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":528,"height":359},"alt":"tpt completion"},"subContentId":"08ff027d-f92d-4970-9753-cca30ba84857","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Management of missed doses in TPT

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Management of missed doses in TPT

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