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Pulmonary Tuberculosis Epidemiology and Risk Factors in the Philippines

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DJ CrissCross
DJ CrissCross

Pulmonary tuberculosis is caused by infection with Mycobacterium tuberculosis or Mycobacterium bovis. It is transmitted through inhalation of droplets from infected individuals. In the Philippines it is one of the leading causes of morbidity. Risk factors include close contact with active cases, immunosuppression, malnutrition, and other diseases like HIV. Diagnosis involves tuberculin skin testing, sputum smear and culture, chest x-rays, and biopsy when needed. Treatment consists of a combination of antibiotics over several months.

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Pulmonary Tuberculosis http://crisbertcualteros.page.tl
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Clinical Forms of Tuberculosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Diagnostic Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Empiric Therapy of Tuberculosis in Infants, Children and Adolescents Immediately prophylaxis controversial for those 5 years, but is recommended by some experts specially if with risk factors e.g. malnutrition, immunocom-promised states 3 months INH ,[object Object],[object Object],[object Object],Remarks Regimen Category
Initial Empiric Therapy of Tuberculosis in Infants, Children and Adolescents ,[object Object],2 months HRZ + E or S ffd by 10 months HR ± E/S given once daily or as DOT 3x weekly Same regimen as pulmonary disease ,[object Object],[object Object],[object Object]
Initial Empiric Therapy of Tuberculosis in Infants, Children and Adolescents In the presence of primary INH resistance, use Rifampicin 9 months INH 9 months INH 9 months INH ,[object Object],[object Object],[object Object],[object Object]
Initial Empiric Therapy of Tuberculosis in Infants, Children and Adolescents 1-2 mos For the duration of immunosup-pression 12 Months INH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Empiric Therapy of Tuberculosis in Infants, Children and Adolescents ,[object Object],[object Object],2 months HRZ once daily, ffd by 4 months HR given once daily or as DOT 3x weekly 2 months HRZ plus E or S once daily, ffd by 4 months HR ± E/S given once daily or as DOT 3x weekly ,[object Object],[object Object],[object Object],[object Object],[object Object]
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