Publication - Independent report
Tuberculosis - RNOH/GIRFT review: national report
The GIRFT Tuberculosis (TB) report is a comprehensive, data-driven national review of TB services across Scotland.
Annex D: Glossary
| Abbreviation | Meaning | Definition |
|---|---|---|
| A&C | Admin and clerical | Administrative and Clerical workforce |
| AAFB | Acid alcohol fast bacteria | Mycobacteria have a structure that can be identified by a staining technique using acid and alcohol |
| BCG | Bacillus Calmette-Guerin | A vaccine primarily used against tuberculosis (TB) |
| BTS | British Thoracic Society | We improve standards of care for people with respiratory diseases and to support those who provide that care. |
| BTS MDR | British Thoracic Society MDR Service | The MDR-TB Clinical Advice Service provides advice and support to clinicians across the UK who encounter MDR-TB. The advice is offered by a multidisciplinary panel of Clinical Service Advisers, with expertise in areas such as respiratory medicine, infectious diseases, microbiology, pharmacy and public health. The advice is provided via a secure online case discussion forum and at monthly MDT meetings which are held via Teams. |
| CPD | Continuing professional development | Continuing Professional Development is a commitment to ongoing lifelong learning. |
| CYP | Children and Young People | This guidance relates to children and young people from birth until their 18th birthday |
| DCC | Direct Clinical Care | Sessional system for consultants with one session equating to 4 hours. This reflects direct contact with patients, reviewing their results and communication. It includes MDTs and cohort reviews |
| DOT | Directly observed therapy | A strategy used to ensure TB patient adherence to and tolerability of the prescribed treatment regimen; a health care worker or another designated person watches the TB patient swallow each dose of the prescribed drugs. |
| ECM | Enhanced case management | The named case manager co-ordinates ECM and works alongside a specialist multidisciplinary TB team to provide expert clinical and psychosocial care, and where appropriate ensures effective engagement with the client group in the community. The case manager carries out a risk assessment at the beginning of treatment to determine if the patient requires ECM. This assessment should be reviewed throughout the course of treatment. |
| ENT | Ear, nose and throat | Illnesses, conditions and disorders of the ears, nose and throat. |
| ESMI | Enhanced Surveillance of Mycobacterial Infections | ESMI is the richest single dataset on the activity, flow, delivery and outcomes from tuberculosis (TB) services in Scotland. This dataset mirrors many of the data fields collected in the National Tuberculosis Surveillance System (NTBS) of the UK Health Security Agency. |
| Gene-Xpert’ | Gene-Xpert’ | A CBNAAT (cartridge based nucleic acid amplification test) is a widely accepted diagnostic test for Tuberculosis. This test is a rapid diagnostic test for Tuberculosis detection as well as Rifampicin resistance in direct smear negative cases. |
| GMC | General Medical Council | The General Medical Council is a public body that maintains the official register of medical practitioners within the United Kingdom. |
| Granuloma | Granuloma | A granuloma is an area of tightly clustered immune cells, or inflammation, in your body. They form around an infection or foreign object in your body. They can form almost anywhere, but they're most often found in your lungs. Granulomas can be a symptom of a chronic condition or an infection. |
| HRG | Healthcare Resource Group | Designed to be standard groupings of clinically similar treatments which use common levels of healthcare resource |
| ICD 10 | International classification of disease, edition 10. | WHO listing of diseases used internationally and form the basis of coding in England, being used to derive the HRG for different conditions |
| ID | Infectious Disease | Infectious diseases are disorders caused by organisms — such as bacteria, viruses, fungi or parasites. |
| IGRA | Interferon-gamma release assay | TB blood tests (interferon-gamma release assay or IGRA) are methods of determining whether a person is infected with TB bacteria. |
| MDR | Multi drug resistant mycobacteria | Disease is caused by TB bacteria that are resistant to at least isoniazid and rifampin, the most effective first-line TB treatment drugs. |
| MDT | Multi-disciplinary team | Teams consisting of individuals drawn from different disciplines who come together to achieve a common goal, whether that be a project to introduce a new role, redesign of a patient pathway or providing care in a different way. |
| NTBS | National Tuberculosis Surveillance system | NTBS is an enhanced surveillance system for public health use completed by colleagues after a notification of tuberculosis. It exists to provide detailed information on each person with TB and the epidemiology of their disease in England, Wales and Northern Ireland |
| NTM | Non tuberculous mycobacteria | A group of bacteria that cause rare lung infections. |
| OPCS | Office of Population Censuses and Surveys | Each category contains a specific set of surgical procedures. Procedures eligible for inclusion in the surveillance are defined by Office of Population Censuses and Surveys (OPCS) surgical procedure codes used by clinical coders. |
| PCR | Polymerase chain reaction | (TB PCR) is a rapid and reliable method for the diagnosis of both pulmonary and extra pulmonary tuberculosis, with an overall sensitivity of 78.3% and a high specificity |
| PH | Public Health | Prevents, prepares for and responds to infectious diseases, and environmental hazards, to keep all our communities safe, save lives and protect livelihoods. Provide scientific and operational leadership, working with local, national and international partners to protect the public’s health and build the nation’s health security capability. |
| RCN | Royal College of Nursing | The RCN is the world's largest nursing union and professional body. |
| RCP | Royal College of Physicians | The Royal College of Physicians of London, commonly referred to simply as the Royal College of Physicians, is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. |
| SNOMED | SNOMED CT is a structured clinical vocabulary for use in an electronic health record. It is the most comprehensive and precise clinical health terminology product in the world. | |
| SMR01 | Scottish Morbidity Records Inpatient Dataset | Data set covering all health boards in Scotland. |
| SOP | Standard Operating Procedures | A set of step-by-step instructions for performing a routine activity. |
| SPA | Supporting Professional Activities | As DCC it is a unit of medical time related to professional development, that may be for an individual for self-learning or for providing education and learning for others |
| SPR | Specialist registrar | doctor in speciality training on-route to becoming a consultant |
| TFC | Treatment Function Code | A 'basket' of activity in a particular area, e.g. code 340 reflects activity carried out by respiratory teams |
| UKHSA | UK Health Security Agency | The UK Health Security Agency is a government agency in the United Kingdom, responsible since April 2021 for England-wide public health protection and infectious disease capability and replacing Public Health England. It is an executive agency of the Department of Health and Social Care. |
| VOT | Video observed therapy | As with DOT but a virtual strategy used to ensure TB patient adherence to and tolerability of the prescribed treatment regimen; a health care worker or another designated person watches the TB patient virtually swallow each dose of the prescribed drugs. |
| XDR | Extensively drug-resistant tuberculosis | The new definition of pre-XDR-TB is: TB caused by Mycobacterium tuberculosis (M. tuberculosis) strains that fulfil the definition of multidrug resistant and rifampicin-resistant TB (MDR/RR-TB) and which are also resistant to any fluoroquinolone. The definition of MDR-TB* remains unchanged. The updated definition of XDR-TB is: TB caused by Mycobacterium tuberculosis (M. tuberculosis) strains that fulfil the definition of MDR/RR-TB and which are also resistant to any fluoroquinolone and at least one additional Group A drug (Group A drugs are the most potent group of drugs in the ranking of second-line medicines for the treatment of drug-resistant forms of TB using longer treatment regimens and comprise levofloxacin, moxifloxacin, bedaquiline and linezolid). |
Contact
Email: healthprotection@gov.scot