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Get Examination For Mycobacterium Tuberculosis Drug Susceptibility. Lab 444
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How to fill out the Examination For Mycobacterium Tuberculosis Drug Susceptibility. Lab 444 online
The Examination For Mycobacterium Tuberculosis Drug Susceptibility. Lab 444 is a crucial document for assessing drug resistance in tuberculosis. This guide provides a step-by-step approach to effectively complete the form online, ensuring that all necessary information is accurately captured.
Follow the steps to accurately complete the form.
- Press the ‘Get Form’ button to access the form and open it in your preferred document management tool.
- Enter the patient's name in the designated field, inputting the last name followed by the first name.
- Provide the patient's home address, ensuring that all components, including street, city, state, and ZIP code, are correctly filled out.
- Fill in the physician’s name and their corresponding address to ensure proper contact.
- Specify the date of birth of the patient accurately.
- Select the gender of the patient by marking the appropriate option.
- Indicate any reasons for suspecting drug-resistant tuberculosis in the provided section.
- Provide a comprehensive case history, including details of any chemotherapy treatments if available.
- Record the laboratory number associated with this examination.
- Input the date when the specimen was collected.
- State the findings from the submitting laboratory, including the date of subculture.
- Indicate the source of the specimen using the designated options.
- Select the specimen type and provide the AFB (acid-fast bacilli) smear result.
- Fill out the test requested section, specifying primary drugs and second-line drugs as necessary.
- Complete the drug susceptibility test results, specifying resistance and concentration levels where indicated.
- Ensure all information above the final line is complete, as submitters must finalize all details before submission.
- After filling out the form, save all changes, and choose to download, print, or share the completed document for submission.
Complete your documents online to ensure swift processing and accuracy.
For suspected infections in other parts of the body, washings/aspirates, swabs of the infected area, fluids and/or tissue samples (biopsy) may be collected for testing. Testing may include: AFB smear a microscopic examination of a specimen that has been stained to detect acid-fast bacteria, such as NTM organisms.
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