02666nas a2200565   4500000000100000008004100001260001300042653001100055653000900066653003300075653001300108653001300121653001100134653004200145653001100187653001300198653001300211653001800224653002200242653002600264653001300290653002300303653002500326653001700351100001600368700001600384700001400400700001000414700001200424700001400436700001000450700002100460700001600481700001300497700001600510700001600526700001300542700001200555700001000567700001900577700001400596700001600610700001700626245013100643300001000774490000700784050001800791520127700809022001402086       2012                            d  c2012 Jun10aAfrica10aAsia10aAttitude of Health Personnel10aCoercion10aEmotions10aEurope10aHealth Knowledge, Attitudes, Practice10aHumans10aJudgment10aLanguage10aLatin America10aLost to Follow-Up10aPatient-Centered Care10aPatients10aPower (Psychology)10aTerminology as Topic10aTuberculosis1 aZachariah R1 aHarries A D1 aSrinath S1 aRam S1 aViney K1 aSingogo E1 aLal P1 aMendoza-Ticona A1 aSreenivas A1 aAung N W1 aSharath B N1 aKanyerere H1 aSoelen N1 aKirui N1 aAli E1 aHinderaker S G1 aBissell K1 aEnarson D A1 aEdginton M E00aLanguage in tuberculosis services: can we change to patient-centred terminology and stop the paradigm of blaming the patients?  a714-70 v16  aZACHARIA 20123 a<p>The words 'defaulter', 'suspect' and 'control' have been part of the language of tuberculosis (TB) services for many decades, and they continue to be used in international guidelines and in published literature. From a patient perspective, it is our  opinion that these terms are at best inappropriate, coercive and disempowering, and at worst they could be perceived as judgmental and criminalising, tending to place the blame of the disease or responsibility for adverse treatment outcomes on one side-that of the patients. In this  article, which brings together a wide range of authors and institutions from Africa, Asia, Latin America, Europe and the Pacific, we discuss the use of the words 'defaulter', 'suspect' and 'control' and argue why it is detrimental to continue using them  in the context of TB. We propose that 'defaulter' be replaced with 'person lost to follow-up'; that 'TB suspect' be replaced by 'person with presumptive TB' or 'person to be evaluated for TB'; and that the term 'control'  be replaced with 'prevention and care' or simply deleted. These terms are non-judgmental and patient-centred. We appeal to the global Stop TB Partnership to lead discussions on this issue and to make concrete steps towards changing the current paradigm.</p>  a1815-7920