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PULMONARY
TUBERCULOSIS
Presented by:
Group 3
OBJECTIVES:
•At the end of this lecture the listener should
be able to understand correctly the disease,
Tuberculosis.
•They will be able to know the signs and
symptoms.
•They will be able to identify the mode of
transmission.
•They will be able to know some preventions
that can eliminate underlying causes.
•They will be able to know the significance of
DOTS as implemented by the World Health
Organization.
What is
Tuberculosis???
- a contagious bacterial
infection.
TUBERCULOSIS
- usually attacks the lungs but
can attack any part of the body (i.e.
kidneys, spine, and brain)
Causes, Incidence,
and Risk Factors
Mycobacterium tuberculosis
TB is spread through the air from the
infected person to another, especially
when the person infected
coughs, sneezes, or speaks.
200,000 to 600,000 :Filipinos have active TB
Philippines : #9 in the top 22 high-burden TB
countries in the world
-World Health Organization
TB is NOT spread by the
following…
• Shaking someone’s hand
• Sharing food or drinks
• Touching bed linens or toilet seats
• Sharing toothbrushes
• Kissing
People at high risk of active TB
• Elderly
• Infants
• People with weakened immune
systems
• People around infected people
• People with poor nutrition
The following increases rate of TB
infection in a population:
• HIV infections
• Appearance of drug-resistant
strains of TB
• Increase in number of
homeless people
Signs and Symptoms
Symptoms
• Coughing with mucus/blood
• Excessive sweating, esp. at night
• Fatigue
• Fever
• Weight loss
Other Symptoms:
• Breathing difficulty
• Wheezing
• Chest pain
Signs:
• Clubbing of fingers and toes
• Fluid around a lung (pleural
effusion)
• Swollen or tender lymph nodes
• Unusual breathing sounds
Tests
Used for diagnosis:
• Biopsy
• Chest CT scan
• Bronchoscopy
• Chest x-ray
• Sputum examination
Levels of Prevention
Primary level
• adequate exercise
• enough rest and sleep
• balanced diet
• avoidance of smoking and alcohol
• good personal hygiene
• breathing fresh air and maintaining good
indoor ventilation
• BCG (Bacille Calmette-Guerin) vaccination
All four of the following drugs are
taken everyday for a period of 2
months:
• Rifampicin
• Isoniazid
• *Pyrazinamide
• *Ethambutol
*Myrin-P Forte
•Streptomycin
Secondary level
• always cover mouth when coughing,
sneezing or laughing
• carefully dispose of any used tissues in a
sealed plastic bag
• open windows when possible to ensure a
good supply of fresh air
• do not sleep in the same room as other
people
Tertiary level
Thank You!!!

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tuberculosisxxxxXxXXx