Recent

  • Show all results for ""
TB Treatment
53 Questions
0 Views

TB Treatment

Created by
@NeatestPalladium

Questions and Answers

What is the outcome for a patient whose sputum smear or culture is POSITIVE at 5 months during treatment?

  • Assigned as lost to follow up
  • Assigned as treatment failed (correct)
  • Assigned as not evaluated
  • Assigned as treatment succeeded

    • In which scenario is a patient assigned as 'lost to follow up'?

  • A patient who dies during the course of treatment
  • A patient whose treatment is interrupted for 2 consecutive months (correct)
  • A patient diagnosed with active TB but not started on treatment
  • A patient whose follow-up sputum examination was not done

    • What is the assigned outcome for a patient who exhibits severe uncontrolled adverse drug reactions?

  • Treatment succeeded
  • Not evaluated
  • Treatment failed (correct)
  • Lost to follow up

    • What should be the assigned outcome for a patient with evidence of additional acquired resistance during treatment?

    <p>Treatment failed</p> Signup and view all the answers

    What happens to a patient for whom no treatment outcome has been assigned due to transfer to another facility?

    <p>Assigned as not evaluated</p> Signup and view all the answers

    At what age should TB patients be screened for diabetes?

    <p>25 years old</p> Signup and view all the answers

    What is the treatment regimen labeled as Regimen 1 for TB?

    <p>2HRZE/4HR</p> Signup and view all the answers

    Who qualifies to receive Regimen 2 of TB treatment?

    <p>New EPTB of CNS with MTB RIF sensitive</p> Signup and view all the answers

    What is Provider-initiated counselling and testing (PICT) primarily focused on?

    <p>HIV testing and counseling for patients</p> Signup and view all the answers

    If a child with TB has an HIV positive mother, what action should be taken?

    <p>Offer testing for HIV</p> Signup and view all the answers

    For a person weighing 38-54 kg, how many tablets should be administered per day for the regimen 2HRZE/4HR?

    <p>3 tablets</p> Signup and view all the answers

    At what age do you provide PICT to all TB patients?

    <p>15 years old</p> Signup and view all the answers

    What is the daily tablet dosage for a TB patient weighing more than 70 kg on the regimen 2HRZE/4HR?

    <p>5 tablets</p> Signup and view all the answers

    What is the appropriate management for jaundice due to hepatitis when caused by HRZ drugs?

    <p>Stop HRZ drugs and refer to a specialist</p> Signup and view all the answers

    Which anti-TB drug is responsible for causing orange-colored urine?

    <p>Rifampicin</p> Signup and view all the answers

    What is the most effective management for burning sensations in the feet due to peripheral neuropathy from Isoniazid?

    <p>Administer Pyridoxine (Vitamin B6)</p> Signup and view all the answers

    What is the management step for arthralgia caused by hyperuricemia from Pyrazinamide?

    <p>Provide aspirin or NSAIDs</p> Signup and view all the answers

    After how many months should the first sputum follow-up be scheduled for a newly diagnosed CDTB patient?

    <p>2 months</p> Signup and view all the answers

    What is the next step if the smear microscopy result is positive at the end of the intensive phase?

    <p>Request for Xpert MTB/Rif and proceed with continuation phase</p> Signup and view all the answers

    Which anti-TB drug is most likely to cause psychosis and convulsions?

    <p>Isoniazid</p> Signup and view all the answers

    What is the management for the impairment of visual acuity caused by Ethambutol?

    <p>Stop Ethambutol and refer to an ophthalmologist</p> Signup and view all the answers

    If a smear microscopy follow-up result is negative after treatment interruption of less than 1 month, what should be done?

    <p>Continue treatment and prolong to compensate for missed doses</p> Signup and view all the answers

    Which drug causes flu-like symptoms including fever and muscle pains?

    <p>Rifampicin</p> Signup and view all the answers

    When can a clinically diagnosed PTB patient be cleared for work?

    <p>After 1 week of uninterrupted treatment</p> Signup and view all the answers

    What should be done if treatment was interrupted for more than 1 month but less than 2 months?

    <p>Do smear microscopy first</p> Signup and view all the answers

    Which anti-TB drug poses the greatest risk of adverse drug reactions?

    <p>Rifampicin</p> Signup and view all the answers

    In case of oliguria or albuminuria due to renal disorder caused by Rifampicin, what is the management?

    <p>Stop Rifampicin and refer to a specialist</p> Signup and view all the answers

    What is the outcome for a patient whose treatment was interrupted for more than 2 months?

    <p>Lost to follow up</p> Signup and view all the answers

    What is the outcome if a patient shows no evidence of clinical improvement during treatment, and follow-up sputum examination was not done?

    <p>Treatment failed</p> Signup and view all the answers

    What should be the assigned outcome for a patient diagnosed with active TB who has not yet begun treatment?

    <p>Lost to follow up</p> Signup and view all the answers

    If a patient's sputum smear is positive at 5 months or later during treatment, what is this considered?

    <p>Treatment failed</p> Signup and view all the answers

    What is assigned to a patient who dies during the course of TB treatment?

    <p>Died</p> Signup and view all the answers

    What is the correct tablet dosage for a TB patient weighing between 55-70 kg on the regimen 2HRZE/4HR?

    <p>4 tablets</p> Signup and view all the answers

    Which of the following groups of patients are eligible for Regimen 2 of TB treatment?

    <p>New EPTB of CNS with MTB RIF sensitive</p> Signup and view all the answers

    What is the primary purpose of Provider-initiated counselling and testing (PICT) for TB patients?

    <p>To screen for HIV</p> Signup and view all the answers

    For a TB patient weighing around 25-37 kg, how many tablets should they receive per day for the regimen 2HRZE/4HR?

    <p>2 tablets</p> Signup and view all the answers

    At what age should all TB patients start receiving PICT?

    <p>15 years old and above</p> Signup and view all the answers

    Which of the following accurately describes a characteristic of Regimen 1 in TB treatment?

    <p>It consists of 2HRZE followed by 4HR</p> Signup and view all the answers

    What should be done if a child with TB shows signs of having an HIV positive mother?

    <p>Offer testing for HIV</p> Signup and view all the answers

    Which classification of TB patients is indicated for treatment regimen 2HRZE/10HR?

    <p>New EPTB involving CNS</p> Signup and view all the answers

    Which anti-TB drug is associated with causing both flu-like symptoms and orange colored urine?

    <p>Rifampicin</p> Signup and view all the answers

    What is the appropriate management if a patient experiences jaundice due to hepatitis from HRZ drugs?

    <p>Stop the anti-TB drugs and refer to a specialist</p> Signup and view all the answers

    When should a patient undergoing anti-TB treatment be scheduled for monthly weight checks?

    <p>Monthly throughout the treatment</p> Signup and view all the answers

    Which drug is most likely to cause arthralgia due to hyperuricemia?

    <p>Pyrazinamide</p> Signup and view all the answers

    What is the management protocol if a patient experiences a burning sensation in the feet due to peripheral neuropathy?

    <p>Provide Pyridoxine (Vitamin B6)</p> Signup and view all the answers

    If a smear microscopy follow-up result is found positive after 6 months of treatment, what should be done?

    <p>Stop treatment and declare as treatment failure</p> Signup and view all the answers

    Which anti-TB drug causes impairment of visual acuity and requires referral to an ophthalmologist?

    <p>Ethambutol</p> Signup and view all the answers

    What should be done if treatment is interrupted for more than 1 month but less than 2 months and the smear microscopy result is negative?

    <p>Continue treatment and extend to compensate for missed doses</p> Signup and view all the answers

    What is the management when a patient experiences thrombocytopenia, anemia, and shock due to Rifampicin?

    <p>Stop Rifampicin and refer to a specialist</p> Signup and view all the answers

    At what point in treatment can a patient with clinically diagnosed PTB be cleared for work?

    <p>After 1 week of uninterrupted treatment</p> Signup and view all the answers

    Which anti-TB drug is responsible for causing psychosis and convulsion?

    <p>Isoniazid</p> Signup and view all the answers

    When should sputum follow-up for newly diagnosed BCTB patients be scheduled?

    <p>At the end of the intensive phase, which is the 2nd month</p> Signup and view all the answers

    What does hyperuricemia caused by Pyrazinamide typically result in?

    <p>Joint pain (arthralgia)</p> Signup and view all the answers

    Study Notes

    TB Screening and Treatment Regimens

    • TB patients aged 25 years and older should be screened for diabetes.
    • Regimen 1 for TB treatment is 2HRZE/4HR, targeting new or retreatment pulmonary TB with MTB RIF sensitive or indeterminate.
    • Eligible patients for Regimen 1 include:
      • New or Retreatment pulmonary TB,
      • Extrapulmonary TB except CNS, brain, bones, joints, with MTB RIF sensitive,
      • New PTB with positive SM TB LAMP or clinically diagnosed cases.
    • Regimen 2 for TB treatment is 2HRZE/10HR, specifically for new or retreatment extrapulmonary TB affecting CNS, joints, or bones with MTB RIF sensitive or indeterminate.

    Provider-Initiated Counseling and Testing (PICT)

    • PICT is provided to all TB patients aged 15 years and older.
    • In cases where a child with TB has an HIV-positive mother or HIV symptoms, testing should be offered.

    Medication Dosage Based on Weight

    • For the 2HRZE/4HR regimen:
      • Patients weighing 25-37 kg receive 2 tablets daily.
      • Patients weighing 38-54 kg receive 3 tablets daily.
      • Patients weighing 55-70 kg receive 4 tablets daily.
      • Patients over 70 kg receive 5 tablets daily.

    Follow-Up and Monitoring

    • Follow-up for newly initiated treatment is scheduled 2 weeks after initiation.
    • Subsequent follow-ups occur at least monthly.
    • Patient weight should be monitored monthly.

    Side Effects and Management of Anti-TB Drugs

    • GI intolerance is primarily caused by HRZ drugs (Isoniazid, Rifampicin, Pyrazinamide); management involves administering them at bedtime or with small meals.
    • Skin reactions can occur with any anti-TB drug; antihistamines are recommended for management.
    • Rifampicin causes orange urine; no specific treatment needed, just reassurance.
    • Isoniazid can cause burning sensations in feet due to peripheral neuropathy; treat with Pyridoxine (Vitamin B6) 50-100 mg daily.
    • Pyrazinamide is associated with arthralgia due to hyperuricemia; manage with aspirin or NSAIDs.
    • Rifampicin can lead to flu-like symptoms; manage with antipyretics.
    • Jaundice can result from HRZ drugs; management requires stopping the drugs and referring to specialists.
    • Ethambutol may impair visual acuity; discontinue and refer to an ophthalmologist.
    • Oliguria or albuminuria is caused by Rifampicin; stop the drug and refer to specialists.
    • Isoniazid may lead to psychosis and convulsions; halt the medication and refer to specialists.
    • Rifampicin can cause thrombocytopenia, anemia, and shock; stop the drug and refer to specialists.

    Adverse Reactions Overview

    • Rifampicin is known for having the most adverse drug reactions, including:
      • Orange-colored urine
      • Flu-like symptoms
      • Oliguria and albuminuria
      • Thrombocytopenia and anemia

    Sputum Follow-Up

    • Sputum follow-up for newly diagnosed CDTB and BDTB occurs at the end of the intensive phase (2 months).
    • Follow-up sputum tests are conducted only if initial tests are positive.
    • If smear microscopy results are negative during follow-up, continue treatment as prescribed.

    Managing Treatment Interruptions

    • If treatment is interrupted for less than 1 month, continue treatment, extending to compensate for missed doses.
    • If interrupted for more than 1 month but less than 2 months, perform smear microscopy; negative results allow you to continue with doses.
    • A positive smear during interruptions of more than 1 month necessitates continuation and compensation, while exceeding 5 months results in treatment failure.

    Treatment Outcome Assignments

    • Treatment failure is defined as positive sputum at or beyond 5 months.
    • A patient who dies during treatment is recorded as "died."
    • Patients not started on treatment or not evaluated due to transfers have outcomes classified as "lost to follow up" or "not evaluated" respectively.

    TB Screening and Treatment Regimens

    • TB patients aged 25 years and older should be screened for diabetes.
    • Regimen 1 for TB treatment is 2HRZE/4HR, targeting new or retreatment pulmonary TB with MTB RIF sensitive or indeterminate.
    • Eligible patients for Regimen 1 include:
      • New or Retreatment pulmonary TB,
      • Extrapulmonary TB except CNS, brain, bones, joints, with MTB RIF sensitive,
      • New PTB with positive SM TB LAMP or clinically diagnosed cases.
    • Regimen 2 for TB treatment is 2HRZE/10HR, specifically for new or retreatment extrapulmonary TB affecting CNS, joints, or bones with MTB RIF sensitive or indeterminate.

    Provider-Initiated Counseling and Testing (PICT)

    • PICT is provided to all TB patients aged 15 years and older.
    • In cases where a child with TB has an HIV-positive mother or HIV symptoms, testing should be offered.

    Medication Dosage Based on Weight

    • For the 2HRZE/4HR regimen:
      • Patients weighing 25-37 kg receive 2 tablets daily.
      • Patients weighing 38-54 kg receive 3 tablets daily.
      • Patients weighing 55-70 kg receive 4 tablets daily.
      • Patients over 70 kg receive 5 tablets daily.

    Follow-Up and Monitoring

    • Follow-up for newly initiated treatment is scheduled 2 weeks after initiation.
    • Subsequent follow-ups occur at least monthly.
    • Patient weight should be monitored monthly.

    Side Effects and Management of Anti-TB Drugs

    • GI intolerance is primarily caused by HRZ drugs (Isoniazid, Rifampicin, Pyrazinamide); management involves administering them at bedtime or with small meals.
    • Skin reactions can occur with any anti-TB drug; antihistamines are recommended for management.
    • Rifampicin causes orange urine; no specific treatment needed, just reassurance.
    • Isoniazid can cause burning sensations in feet due to peripheral neuropathy; treat with Pyridoxine (Vitamin B6) 50-100 mg daily.
    • Pyrazinamide is associated with arthralgia due to hyperuricemia; manage with aspirin or NSAIDs.
    • Rifampicin can lead to flu-like symptoms; manage with antipyretics.
    • Jaundice can result from HRZ drugs; management requires stopping the drugs and referring to specialists.
    • Ethambutol may impair visual acuity; discontinue and refer to an ophthalmologist.
    • Oliguria or albuminuria is caused by Rifampicin; stop the drug and refer to specialists.
    • Isoniazid may lead to psychosis and convulsions; halt the medication and refer to specialists.
    • Rifampicin can cause thrombocytopenia, anemia, and shock; stop the drug and refer to specialists.

    Adverse Reactions Overview

    • Rifampicin is known for having the most adverse drug reactions, including:
      • Orange-colored urine
      • Flu-like symptoms
      • Oliguria and albuminuria
      • Thrombocytopenia and anemia

    Sputum Follow-Up

    • Sputum follow-up for newly diagnosed CDTB and BDTB occurs at the end of the intensive phase (2 months).
    • Follow-up sputum tests are conducted only if initial tests are positive.
    • If smear microscopy results are negative during follow-up, continue treatment as prescribed.

    Managing Treatment Interruptions

    • If treatment is interrupted for less than 1 month, continue treatment, extending to compensate for missed doses.
    • If interrupted for more than 1 month but less than 2 months, perform smear microscopy; negative results allow you to continue with doses.
    • A positive smear during interruptions of more than 1 month necessitates continuation and compensation, while exceeding 5 months results in treatment failure.

    Treatment Outcome Assignments

    • Treatment failure is defined as positive sputum at or beyond 5 months.
    • A patient who dies during treatment is recorded as "died."
    • Patients not started on treatment or not evaluated due to transfers have outcomes classified as "lost to follow up" or "not evaluated" respectively.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on tuberculosis treatment protocols, particularly focusing on patient eligibility and screening for diabetes. This quiz covers key aspects of Regimen 1 for TB patients and their requirements. Perfect for healthcare professionals and students in medical fields.

    More Quizzes Like This

    Farmacorresistente TB Treatment Schemes
    10 questions

    Farmacorresistente TB Treatment Schemes

    TroubleFreeAstatine avatar
    TroubleFreeAstatine
    Tuberculosis in the Philippines
    18 questions

    Tuberculosis in the Philippines

    CrisperIntellect avatar
    CrisperIntellect
    TB Treatment and Contraception Complications
    38 questions

    TB Treatment and Contraception Complications

    LegendaryLily avatar
    LegendaryLily
    Determinants of Delayed TB Diagnosis and Treatment in Cambodia
    31 questions

    Determinants of Delayed TB Diagnosis and Treatment in Cambodia

    GenuineHeliotrope1830 avatar
    GenuineHeliotrope1830
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser