Hind Satti, MD

Hind Satti, MD started a discussion "Infection control at home" in the TB Infection Control community.

Dear colleagues, I am a director of the MDR TB program in Lesotho. Our program is community based program, we manage and treat patients at home. I would like to share with you what we are doing for infection control at home: - We provide community health workers with N95 masks, each will get 3/month. - We conduct home -visit assessment before initiation of treatment to design intervention for infection control at home. - Cough ...

Hind Satti, MD started a discussion "Addressing MDR TB in the context of HIV: Lessons from Lesotho" in the MDR-TB Treatment & Prevention community.

* TB Situation in Lesotho 12,275 TB new cases notified in 2007 Estimated prevalence of 544 per 100,000 population Estimated annual incidence for all cases is 691 per 100,000 population Estimated incidence of Sputum smear positive cases is 281 per 100,000 population 75% of new TB cases among age-group 15-44 years Estimated all TB deaths is 107/100,000 annually The HIV prevalence rate in Lesotho stands at 23.2% in 2005 64% of TB cases are HIV ...

Hind Satti, MD started a discussion "Treatment supporters and treatment literacy: Lessons from Lesotho" in the MDR-TB Treatment & Prevention community.

This presentation looks at accompaniment or treatment supporters in the socio-economic context for TB and adherence issues in Lesotho, and was developed for the Union/IUATLD conference in Paris last October. Accompaniers, or Community Health Workers/Treatment Supporters, have been implemented at Partners In Health Lesotho right from the start. They help programs to ensure that patient will complete an adequate course of treatment; they facilitate the management of side effects and the prevention of some of ...

Hind Satti, MD started a discussion "Treatment of MDR-TB in high HIV-prevalence settings" in the MDR-TB Treatment & Prevention community.

This presentation was given at the Union/IUATLD conference in Paris last October and covers the following: * Early outcomes of MDR-TB treatment: Retrospective cohort analysis Registered between July 21, 2007 and December 21, 2007 Included all patients starting treatment with second-line TB drugs for confirmed or presumptive MDR-TB * HIV co-infection and ART co-treatment Twenty-seven (67.5%) patients were infected with HIV Mean CD4 cell count was 259 cells/l (SD 222). Of the HIV-infected patients, 9 ...

Hind Satti, MD replied to "Infection control at home" in the TB Infection Control community.

Our community health worker are well trained on how to screen for TB and test for HIV at home, so close follow up of the household contacts is part of our program, we recruit MDR TB patients and suspect from all TB clinics around the country, we initiate treatment for suspects as well as for the confirmed cases, either at the clinic or at home, we admit only very sick patients until they are stable. ...