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PULMONARYTUBERCULOSIS
(Vvvvvvv imp)
Presentedby:–juberdonur
(Asstlecturer)
Bangiinstituteof nursingsciences
INTRODUCTION
• Tuberculosis (TB) is one of the most chronic infections of
human beings and contributes to illness and death around the
world.
• It is spread by inhaling tiny droplets of saliva from the coughs
or sneezes of an infected person. It is a slowly spreading,
chronic, bacterial infection,& characterised by gradual weight
loss.
• TB is the world's second most common cause of death from
infectious disease after HIV/AIDS.
DEFINITION
• Tuberculosis is the infectious disease primarily affecting lung
parenchyma & it is most often caused by Mycobacterium
Tuberculosis. It may spread to any part of the body including
meninges, kidney, bones and lymph-nodes.
CLASSIFICATION
Intra pulmonary TB
1. Primary tuberculosis
2. Secondary tuberculosis
Extra pulmonary TB
1. Lymph node TB
2. Pleural TB
3. TB of upper airways
4. Skeletal TB
5. Genitourinary TB
6. Pericardial TB
7. Gastrointestinal TB
8. Tuberculosis of Meningitis
Aetiology
1. Tuberculosis is spread through the air, which means you can only
get it by breathing contaminated air. If someone who is actively sick
talks, coughs, sneezes, or speaks they can spread TB.
2. Poverty
3. HIV/AIDS
4. Air pollution
5. Homelessness
6. Taking medication that reduces the immunity
Cont…….
7. DM
8. Organ transplant
9. Working in health care
10. Smoking
11. Pregnancy
12. Old age
13. Blood transfusions
Modeof transmission
• Droplets infection
• By infected articles
• By organ transplant
CLINICAL MANIFESTATION
Diagnosticevaluation
• H/c
• P/E
• Blood test
• Sputum test
• CT
• x-ray
• MRI
• Mantoux test (imp 5m )
• Bronchoscopy
• biopsy of affected part
• Spirometer
Mantouxtest
• It's also called the tuberculin skin test (TST).
• Definition
The Mantoux test is a widely used test forTB. It involves injecting a small
amount of a substance called PPD(purified protein derivative) tuberculin
into the skin of forearm called Mantoux test.
Procedure
• Clean the forearm site
• Use a 1mm of tuberculin syringe and aspirate out 0.1 mL of
PPD
Inject the PPD intradermal on the surface of the forearm &
Position of syringe is at 10-15° to the forearm and insert just
below the epidermis (about 2 mm).
Remove the needle quickly.Do not
massage or use dressing. A well-
defined bleb of 6-10mm indiameter
should be formed if injected
correctly.
Mark down the site, date and time
of injection, both on the forearm
and in the patient’s record.
Doctors should read skin tests 48-72 hours
after the injection.
RESULTS OF Mantoux test
• Measure the diameter of the induration using a plastic flexible
millimetre (mm) ruler.
Medical management
• BRONCHODILATOR
• MULTIVITAMIN
• ANTIPYRETIC
• COUGH SUPPRESSANT
• ANTI INFLAMMATORY
DOTsTHERAPY
• DOTS (directly observed treatment, short-course), is the name
given to the World Health Organization-recommended
tuberculosis control strategy that combines five components
1) Government commitment (including both political will at all
levels, and establishing a centralized and prioritized system of
TB monitoring, recording and training)
2) Case detection by sputum smear microscopy and x ray
• Standardised treatment directly observed by a healthcare
worker or community health worker for at least the first two
months
• A regular drug supply
• A standardised recording and reporting system that allows
assessment of treatment results
Treatment by DOTS
Tuberculosis

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Tuberculosis

  • 2. INTRODUCTION • Tuberculosis (TB) is one of the most chronic infections of human beings and contributes to illness and death around the world. • It is spread by inhaling tiny droplets of saliva from the coughs or sneezes of an infected person. It is a slowly spreading, chronic, bacterial infection,& characterised by gradual weight loss. • TB is the world's second most common cause of death from infectious disease after HIV/AIDS.
  • 3. DEFINITION • Tuberculosis is the infectious disease primarily affecting lung parenchyma & it is most often caused by Mycobacterium Tuberculosis. It may spread to any part of the body including meninges, kidney, bones and lymph-nodes.
  • 4. CLASSIFICATION Intra pulmonary TB 1. Primary tuberculosis 2. Secondary tuberculosis Extra pulmonary TB 1. Lymph node TB 2. Pleural TB 3. TB of upper airways 4. Skeletal TB 5. Genitourinary TB 6. Pericardial TB 7. Gastrointestinal TB 8. Tuberculosis of Meningitis
  • 5. Aetiology 1. Tuberculosis is spread through the air, which means you can only get it by breathing contaminated air. If someone who is actively sick talks, coughs, sneezes, or speaks they can spread TB. 2. Poverty 3. HIV/AIDS 4. Air pollution 5. Homelessness 6. Taking medication that reduces the immunity
  • 6. Cont……. 7. DM 8. Organ transplant 9. Working in health care 10. Smoking 11. Pregnancy 12. Old age 13. Blood transfusions
  • 7. Modeof transmission • Droplets infection • By infected articles • By organ transplant
  • 9. Diagnosticevaluation • H/c • P/E • Blood test • Sputum test • CT • x-ray • MRI • Mantoux test (imp 5m ) • Bronchoscopy • biopsy of affected part • Spirometer
  • 10. Mantouxtest • It's also called the tuberculin skin test (TST). • Definition The Mantoux test is a widely used test forTB. It involves injecting a small amount of a substance called PPD(purified protein derivative) tuberculin into the skin of forearm called Mantoux test.
  • 11. Procedure • Clean the forearm site • Use a 1mm of tuberculin syringe and aspirate out 0.1 mL of PPD
  • 12. Inject the PPD intradermal on the surface of the forearm & Position of syringe is at 10-15° to the forearm and insert just below the epidermis (about 2 mm).
  • 13. Remove the needle quickly.Do not massage or use dressing. A well- defined bleb of 6-10mm indiameter should be formed if injected correctly. Mark down the site, date and time of injection, both on the forearm and in the patient’s record. Doctors should read skin tests 48-72 hours after the injection.
  • 15. • Measure the diameter of the induration using a plastic flexible millimetre (mm) ruler.
  • 16.
  • 18.
  • 19.
  • 20. • BRONCHODILATOR • MULTIVITAMIN • ANTIPYRETIC • COUGH SUPPRESSANT • ANTI INFLAMMATORY
  • 21. DOTsTHERAPY • DOTS (directly observed treatment, short-course), is the name given to the World Health Organization-recommended tuberculosis control strategy that combines five components 1) Government commitment (including both political will at all levels, and establishing a centralized and prioritized system of TB monitoring, recording and training) 2) Case detection by sputum smear microscopy and x ray
  • 22. • Standardised treatment directly observed by a healthcare worker or community health worker for at least the first two months • A regular drug supply • A standardised recording and reporting system that allows assessment of treatment results