MD MDR/XDR TB expat
Uzbekistan has one of the highest burden of Multi drug resistance cases in the world.
My role as an expat is, in close working relationship with local medical teams, local authorities and other msf international expats, to diagnose and treat patients with TB. On daily basis we see patients in the inpatients wards, outpatient units and DOTS corners. I take patients' history, examine them and request basic tuberculosis investigations. We also request the latest TB investigations Like HAIN, Mycobacterium Gene technology, cultures and drug sensitivity testing (DST) in order to make definitive TB diagnosis and come up with drug sensitivity. In addition to TB, I also attend to other medical conditions TB patients may have. I prescribe first, second and third line ant-TB drugs depending on the individual cases at hand.
I also train local medical teams on drug resistance TB protocols and guidelines.