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TUBERCULOSIS: TYPES, DIAGNOSIS
AND PREVENTION
IIS (DEEMED TO BE UNIVERSITY)JAIPUR
SUBMITTED TO- SUBMITTED BY –
Dr. ANUJA VAJPAYEE APARAJITA SHARMA
( ASSISTANT PROFESSOR ) MSC. BIOTECHNOLOGY
Tuberculosis
• An infectious bacterial disease characterized
by the growth of nodules (tubercles) in the
tissues, especially the lungs.
• Tubercle: Round nodule/Swelling ; Osis:
Condition.
Causative organism:
Mycobacterium tuberculosis.
Characteristics:
• Gram positive
• obligate aerobe
• Non spore forming
• Non motile rod
• Mesophile
• Lipid rich cell wall contains
mycolic acid- 50% cell wall dry
weight; acid fast (retains acidic
stains)
• Symptoms:
Persistent cough
Chest pain
Coughing with bloody sputum
Shortness of breath
Urine discoloration
Fever with chills
Fatigue
Diagnosis
1. Bacteriological test/Staining method:
Ziehl-Neelsen (Acid Fast) Staining:
Carbolfuchsin method.
Auramine-Rhodamine
Fluorochrome staining:
Fluorochrome dye, Auramine-
Rhodamine forms a complex
with mycolic acids found in the
acid fast cell wall of organisms
which resist decolorization with
acid-alcohol. The cells visualised
under ultraviolet light appear
bright yellow or reddish orange.
2. Sputum culture test: A sample of sputum
is added to a substance that promotes the
growth of bacteria. If no bacteria grow, the
culture is negative. If bacteria grow, the
culture is positive. If TB bacteria grow, then
the person has tuberculosis
3. Radiography (chest X ray): On a chest x-
ray from someone with TB you can often see
the cavitation that the TB bacteria form in
the lung tissue
4. Tuberculin skin Test:
Injection of fluid tuberculin into the skin of
the lower arm.
48-72 hours later – checked for a reaction
a hard, raised area with clearly defined
margins at and around the injection site
• BCG Vaccine
BCG is a vaccine against tuberculosis that is
prepared from a strain of the attenuated live
bovine tuberculosis bacillus, mycobacterium
bovis.
. The BCG vaccine contains live bacteria that
have been weakened (attenuated), so that
they stimulate the immune system but do not
cause disease in healthy people.
• Tuberculosis is completely curable through short-
course chemotherapy. Treating TB cases who are
sputum-smear positive (and who can therefore
spread the disease to others) at the source, it is
the most effective means of eliminating TB from a
population.
• DOTS or Directly Observed Treatment Short
course is the internationally recommended
strategy for TB control that has been recognized
as a highly efficient and cost-effective strategy.
• DOTS comprises five components.
1. Sustained political and financial committment. TB can be
cured and the epidemic reversed if adequate resources and
administrative support for TB control are provided
2.Diagnosis by quality ensured sputum-smear microscopy.
Chest symptomatics examined this way helps to reliably find
infectious patients
3.Standardized short-course anti-TB treatment (SCC) given
under direct and supportive observation (DOT).Helps to
ensure the right drugs are taken at the right time for the full
duration of treatment.
4. A regular, uninterrupted supply of high quality anti-TB
drugs. Ensures that a credible national TB programme does
not have to turn anyone away.
5. Standardized recording and reporting. Helps to keep track
of each individual patient and to monitor overall programme
performance
THANK YOU!

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Tuberculosis ppt

  • 1. TUBERCULOSIS: TYPES, DIAGNOSIS AND PREVENTION IIS (DEEMED TO BE UNIVERSITY)JAIPUR SUBMITTED TO- SUBMITTED BY – Dr. ANUJA VAJPAYEE APARAJITA SHARMA ( ASSISTANT PROFESSOR ) MSC. BIOTECHNOLOGY
  • 2. Tuberculosis • An infectious bacterial disease characterized by the growth of nodules (tubercles) in the tissues, especially the lungs. • Tubercle: Round nodule/Swelling ; Osis: Condition.
  • 3. Causative organism: Mycobacterium tuberculosis. Characteristics: • Gram positive • obligate aerobe • Non spore forming • Non motile rod • Mesophile • Lipid rich cell wall contains mycolic acid- 50% cell wall dry weight; acid fast (retains acidic stains)
  • 4.
  • 5. • Symptoms: Persistent cough Chest pain Coughing with bloody sputum Shortness of breath Urine discoloration Fever with chills Fatigue
  • 6.
  • 7. Diagnosis 1. Bacteriological test/Staining method: Ziehl-Neelsen (Acid Fast) Staining: Carbolfuchsin method.
  • 8. Auramine-Rhodamine Fluorochrome staining: Fluorochrome dye, Auramine- Rhodamine forms a complex with mycolic acids found in the acid fast cell wall of organisms which resist decolorization with acid-alcohol. The cells visualised under ultraviolet light appear bright yellow or reddish orange.
  • 9. 2. Sputum culture test: A sample of sputum is added to a substance that promotes the growth of bacteria. If no bacteria grow, the culture is negative. If bacteria grow, the culture is positive. If TB bacteria grow, then the person has tuberculosis 3. Radiography (chest X ray): On a chest x- ray from someone with TB you can often see the cavitation that the TB bacteria form in the lung tissue 4. Tuberculin skin Test: Injection of fluid tuberculin into the skin of the lower arm. 48-72 hours later – checked for a reaction a hard, raised area with clearly defined margins at and around the injection site
  • 10.
  • 11. • BCG Vaccine BCG is a vaccine against tuberculosis that is prepared from a strain of the attenuated live bovine tuberculosis bacillus, mycobacterium bovis. . The BCG vaccine contains live bacteria that have been weakened (attenuated), so that they stimulate the immune system but do not cause disease in healthy people.
  • 12. • Tuberculosis is completely curable through short- course chemotherapy. Treating TB cases who are sputum-smear positive (and who can therefore spread the disease to others) at the source, it is the most effective means of eliminating TB from a population. • DOTS or Directly Observed Treatment Short course is the internationally recommended strategy for TB control that has been recognized as a highly efficient and cost-effective strategy.
  • 13. • DOTS comprises five components. 1. Sustained political and financial committment. TB can be cured and the epidemic reversed if adequate resources and administrative support for TB control are provided 2.Diagnosis by quality ensured sputum-smear microscopy. Chest symptomatics examined this way helps to reliably find infectious patients 3.Standardized short-course anti-TB treatment (SCC) given under direct and supportive observation (DOT).Helps to ensure the right drugs are taken at the right time for the full duration of treatment. 4. A regular, uninterrupted supply of high quality anti-TB drugs. Ensures that a credible national TB programme does not have to turn anyone away. 5. Standardized recording and reporting. Helps to keep track of each individual patient and to monitor overall programme performance