2017-12-15T08:06:41
Ten points every doctor should know about TB
1. Resistant TB can be MDR TB (2% of new TB cases) or XDR TB (Resistance to 2 groups of drugs)
2. GTN: GeneXpert test for primary diagnosis of Rifampicin resistance, notify ( suspect or confirmed, sputum positive or negative) all TB cases at Nikshay and Trace ( near exposed ones) and Treat ( daily regimen, 4 drugs 2 months and 3 drugs 4 months) all contacts.
3. Don’t ignore fever and cough of more than 2 weeks duration.
4. Get 2 sputum examination to rule out TB (stat and nearly morning).
5. Rule out HIV and Diabetes Mellitus in every case of TB.
6. Use 2 type of masks, N 95 (for doctor) and surgical mask (for patients) for prevention.
7. Patient rights: To get free diagnostics and free drugs from the government.
8. Take 2 weeks precautions if AFB is positive (bury or burn infected sputum).
9. Not notifying TB is a crime under 2 clauses of MCI (5.2 and 7.14).
10. Think before you misuse two tests: ELIESA (banned) and Gold Interferon (rarely needed).