Management of tuberculosis infection in a general practice setting: An implemented model of care.

BACKGROUND

Tuberculosis infection (TBI) is an asymptomatic state in which people have been exposed to Mycobacterium tuberculosis, but not yet developed active disease. Most Australian models of care for TBI have been based in tertiary clinics, but people from affected communities consistently would prefer to receive care in a general practice setting.

OBJECTIVE

This project aimed to develop and implement a model of care for providing safe and effective management of TBI in general practice settings. We describe a pilot program, including training, algorithms for management and resource development, to support holistic care.

DISCUSSION: More than 20 general practices and pharmacies in south-eastern Melbourne have now adopted this model of care, involving community-based education, diagnosis and treatment, which has been integrated into existing practice approaches. A range of resources is now available to support general practice clinics in providing TBI care, including both professional development and patient-facing materials.