P158 A nurse-led model for tuberculosis services delivers safe and effective care

ABSTRACT

P158 Table 1 2018–2019 2020–2021 No of patients 33 38 Disease site Pulmonary Extra-pulmonary Pulmonary Extra-pulmonary 45.5% 55.5% 23.6% 76.4% Single site Multi-Site Single Site Multi-Site 87.9% 12.1% 78.9% 21.1% Sensitivity Sensitive Drug Resistant Sensitive Drug Resistant 62.5% 37.5% 81.2% 18.8% Treatment started by Doctor Nurse Doctor Nurse Inpatient Outpatient Inpatient Outpatient 24.1% 75.9% 0% 7.9% 71.1% 21% Days from symptom onset to treatment(median) 73 65 Total clinic appointments Face to face Virtual Face to face Virtual 503 1 339 11 Clinic appointments per patient (median) 13 13 Follow-up appointments led by Doctor Nurse Doctor Nurse 52% 48% 28% 72% Patients lost to follow-up 3 1 Hospital admissions 7 1 Patient deaths 0 1 ConclusionA nurse-led model for TB services provides safe, effective, and timely care.An expanded TBSN role with the support of a proactive, easily-accessible consultant may present a good model for TB service provision going forward.Further research is needed to test this model outside of the pandemic context.ReferencesBritish Thoracic society. Tuberculosis services during the Covid-19 pandemic. Available at https//www.brit-thoracic.org.uk/covid-19/covid-19-information-for-the-respiratory-community/