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The LT of the DMC should promptly inform the sample transport agency like a

courier /speed post service, speed post or a human carrier to collect and

transport the samples

As per the national guidelines for biomedical waste management the containers

used fortransporting sputum samples to the RNTCP-certified laboratory should be

labelled with a “BIO-HAZARD” sticker.

For every presumptive DR TB referred by the MO-DMC, the date of referral and

transport ofsputa samples to the Culture & DST laboratory should be entered in the

“Remarks” columnof the respective DMC Lab register and the TB notification

register

.

Alternatively the presumptive DR-TB patients referred to nearby

DMCselected for sample collection and transport for C-DST may be provided two

falcon tubes bythe concerned DMC LT/MO and instructed on collecting two samples

(one early morningand one supervised spot). These samples will be taken by the

patient / relative to the DMCselected for sample collection for C-DST from where

these will be packed in cold boxes andtransported to the RNTCP-certified laboratory

for culture and DST. Once the sputum hasbeen transported to the RNTCP-certified

laboratory, the p should return tocontinue their RNTCP DOTS treatment.

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