Examples of Good Basic Triage Strategy
I did not contribute to the 10 essential IC discussion but I wanted to share with you what I believe is a good (but not perfect) basic triage strategy used in our Haiti facility for many years.
It is based on smear and HIV status and requires 3 areas: 1) general medical ward, 2) TB ward, and 3) several isolation rooms. It is captured in this presentation with photos available in the community here: http://www.ghdonline.org/ic/resource/transmission-of-mdr-mtb-infection-contro...
Most TB in Haiti is treated in the community with paid community workers.
When patients require hospitalization, smear negative patients go to the general medical ward regardless of HIV status - presumably no one is very infectious. Smear positive/HIV negative patients go to the TB ward which has extra ventilation and UV lamps. Patients who are smear positive and HIV + cannot go to the general or TB ward, and require one of 6 isolation rooms.
It is not perfect because smears are not perfect indicators of infectiousness, and unsuspected TB patients and HIV infected patients may result in patients where they should not be, but it is probably better than what I have seen in many parts of the world and it is workable in our experience.
I offer this for discussion. Please share other examples.