Treatment for TB


This article is a good resource which explains about the various treatment options available for Tuberculosis. Read this article to know about the categories of TB and their treatment in accordance.

As per RNTCP the patients of TB has been categorized on the basis of sputum examination and the treatment modality varies for each caregories.
Here is the brief description of treatmnet of TB based on the category.

Category I TB



All new cases of of TB who are sputum-positive, or seriously ill patients eith smear negative or seriously ill extra-pulmonary tuberculosis.

Treatment of Category I TB

Treatment is given in two phases. The intensive phase consist of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol given under direct observation(DOTS) thrice weekly on alternate days and lasts for 2 months ie 24 doses in total.
This is immediately followed by the continuation phase, which consist of 4 months(18 weeks, 54 doses) of Isoniazid and Rifampicin given thrice weekly on alternate days, the first dose each week is directly observed.
If the sputum smear is positive after 2 months of treatment, the 4 intensive phase drugs are continued for another one month(12 doses) before starting the 4 months of continuation phase.
Total duration of treatment is thus of 6 months in normal circumstances.

Category II TB



This category consist of retreatment cases including patients with relapse, failure and those who return after default. Such patients are generally sputum positive and have longest duration of treatment.

Treatment of Category II TB

Treatment is given in two phases. The intensive phase consist of two months (24 doses)of Isoniazid, Rifampicin, Pyrazinamide, Ethambutol and injection Streptomycin followed by one month (12 doses) of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol all given under direct observation thrice weekly on alternate days. In total the intensive phase in category II is 3 months.
This is immediately followed by continuation phase, which consist of 5 months(22 weeks, 66 doses) of isoniazid, rifampicin and Ethambutol given thrice daily on alternate days, the first dose each week directly observed.
If the sputum smear is positive after 3 months of treatment, the 4 oral intensive phase drugs are continued for another one month(12 doses) before starting 5 months of continuation phase.
In normal circumstances total duration of treatment is of 8 months.

Category III TB



This consist of patients who are sputum negative, or who have extra pulmonary TB and not seriously ill, like TB of pleura, TB lymph nodes etc.

Treatment of Category III TB

Treatment is given in two phases. The intensive phase consist of Isoniazid, Rifampicin and Pyrazinamide given under direct observation(DOTS) thrice weekly on alternate days and lasts for 2 months ie 24 doses in total.
This is immediately followed by the continuation phase, which consist of 4 months(18 weeks, 54 doses) of Isoniazid and Rifampicin given thrice weekly on alternate days, the first dose each week is directly observed.
*If the sputum smear is positive after 2 months of treatment, the patient is considered as a treatment failure and should begin afresh on Category II.*
Total duration of treatment is thus of 6 months in normal circumstances.

Drugs are supplied in patient-wise boxes containing the full course of treatment, and packaged in blister packs. For the intensive phase, each blister contains one day medication. For the continuation phase, each blister pack contains one weeks supply of medicine.The combipack drugs for extension of the intensive phase are supplied separately.

To know about How to diagnose Tuberculosis please see Diagnosis of Tuberculosis

To know more about the TB program in India (Revised National Tuberculosis Control Program) please see RNTCP

To know more about the DOTS please see DOTS

To know about TB in AIDS patients please see http://www.indiastudychannel.com/resources/44719-HIV-Tuberculosis.aspx>TB in AIDS

Reference: www.dr-healthguide.blogspot.com


Related Articles

Main Characteristics of Tuberculosis and its treatment in India

Tuberculosis (TB) is the main contagious disease which causes maximum death rates in India. But the Government of India has started the Revised National Tuberculosis Control Programme (RNTCP) since 25th of January, 2004 with dynamic directions from the World Health Organization (WHO) to prevent and cure this disease. This article explains the history, main characteristics and treatment of this disease in India by the Direct Observed Treatment Short course (DOTS) system.

What are the Performance Measures in ATM?

Performance measures are very necessary in the of ATM switches that are used to connect various ATM end systems and through them the routing of the user cells is possible. These performance issues characterize an ATM Switch. This post enlightens such performance measures for ATM Switch Design.

More articles: Tuberculosis ATM

Comments

No responses found. Be the first to comment...


  • Do not include your name, "with regards" etc in the comment. Write detailed comment, relevant to the topic.
  • No HTML formatting and links to other web sites are allowed.
  • This is a strictly moderated site. Absolutely no spam allowed.
  • Name:
    Email: