By ULY CLINIC

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GENERAL MANAGEMENT OF TUBERCULOSIS

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Introduction

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Tuberculosis is chronic airborne infectious disease caused by Mycobacterium tuberculosis.  

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Diagnosis criteria

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• Cough of more than two weeks

• Fever

• Excessive night sweats

• Haemoptysis (sputum mixed with blood stains)

• Loss of weight

• Others includes swelling of lymph nodes, ascites, difficulty in breathing, swelling of joints etc., depending on the site of the disease 

 

Investigations

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• Sputum- smears microscopy or sputum for Gene –Expert. 

• Culture and sensitivity; this is done to DR presumptive patients and DST surveillance

• Chest X-rays: done when smear negative and still suspect TB

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NOTE. Conduct HIV provider initiated testing and counseling for all TB patients 

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For detailed diagnosis and investigation of tuberculosis, refer to elsewhere else in this site

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Pharmacological Treatment 

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TB treatment is divided into two phases:

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Initial /intensive phase, which consists of: 

 

• RHZE for 2 months for new case                

 AND

• SRHZE for 2 months then A: RHZE 1month for re-treatment case. 

 

Continuation phase, which consists of

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• RH for 4 months for new patient 

AND 

• RHE 5 months for re-treatment case. 

 

Recommended daily doses of first-line anti-TB drugs for adults and children