about old pulmonary tuberculosis
JeongWoong Park
I think many people who have concerned about tuberculosis know that
many patients and careers with pulmonary tuberculosis are there in
asian area including korea my country.
What is the best way to treat the patient who has the old tbc lesion
in chest x- ray ,not in sputum, without any symptpms and hasn't taken
any antituberculosis drugs?
I used to recommended some antituberculosis drugs to these people.
but , if the patients with old tbc lesion in chest x-ray took an
antituberculosis drug for at least a few months, I've just stayed and
checked them regularly.
What do you think about this??
thanks for any help in advance.
Don Elton
In a patient under age 35, a positive PPD without evidence of active
disease means you need 6 months of INH. If you're over age 35, a new
conversion of PPD (12 months or so), a close contact of a known active case
with a positive PPD, also mean you get INH for 6 months. If you have the
real thing (i.e. sputum with AFB in it) you get INH, Rifampin, Ethambutol,
and Pyrazinamide and drop the Ethambutol and PZA after 2 months continueing
the INH and Rifampin for 6 months presuming that the sensitivities show
sensitive to the INH and Rifampin.
Don Elton
del...@scsn.net Fax: 803-776-0767
del...@pro-carolina.cts.com pro-carolina BBS: 803-776-5551
del...@cbbs.scsn.net Carolina BBS: 803-783-8162
Evgeny S.Pobegalov
do...@bora.dacom.co.kr (JeongWoong Park) wrote:
>What is the best way to treat the patient who has the old tbc lesion
>in chest x- ray ,not in sputum, without any symptpms and hasn't taken
>any antituberculosis drugs?
Would you kindly concretize what do you mean speaking of an "old tbc
lesion"? If it's a calcificated focus existing for many years, no
treatment is needed - regular investigations only. If it is a rather
recent one (1-2 years) and without calcification, then other measures
are to be taken...
See you in this group!
With best regards,
Evgeny S.Pobegalov <tho...@infopro.spb.su>
St.Petersburg, Russia