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INFECTOLOGIA AMIR > TUBERCULOSIS > Flashcards

TUBERCULOSIS Flashcards

1
Q

SI PRIMERO SE HACE BARR Y SALE NEGATIVO , QUE ESTUDIO SE HACE DESPUÉS

A

BAAR + Cultivo

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2
Q

Microscopia

A

3 expectoraciones si no da (utilizar jugo gástrico )
Tincion zichl Nielsen
Auramina rodamina (+ sensible )

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3
Q

Cultivo

A

ESTÁNDAR DE ORO (lowenstein-jensen )
Medio middlebrook es el más lento o MGIT BACTEC

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4
Q

SI NO DA EL CULTIVO HCER

A

Broncoscopia +. Lavado

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5
Q

Todo caso positivo aislamiento 2 semanas

A
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6
Q

TB latente

A

Evidencia por laboratorio

1.ppd (inmunidad tipo IV) MANTOUX
2.ensayos liberación interferón IGRA

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7
Q

PPD O MAUNTOX

A

Subcutánea
48-72 hrs
Mide zona indurada
Tipo hipersensibilidad tipo IV
10

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8
Q

Falsos positivos PPD

A

Micobacterias no tuberculosis
BCG (10 años )

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9
Q

Falsos negativos PPD

A

Inmunocomprometidos
Alergia a TB Activa
VIH-TRANSPLANTE-QUIMIOTERAPIA
Desnutrición
Extremos de la vida

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10
Q

IGRAS

A

Más especifico pero mas cotoso
Miden la liberación de IFN gamma

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11
Q

Seguimiento después de dar medicamento

A

BAAR cada mes
PFH

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12
Q

Por que isoniacida nos puede dar anemia

A

Anemia sidreroblastica VB6 es un cofactor

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13
Q

Tb resistente

A

Isoniacida + rifampicina

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14
Q

XDR extremadamente resistente

A

Isoniacida + rifa + quinolonas + 1 fármaco inyectable

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15
Q

La rifampicina

A

Actúa sobre la RNA polímeros a transcripción

Inhibición la subunidad RNAP B del termus acuático CORE

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16
Q

TX 9 MESES EN

A

Intolerancia pirazinamida
Silicosis
Cultivo + al segundo mes (con evidencia
VIH avanzado menos 100 CD4

17
Q

En px con VIH esta indicado

A

Inhibidor de Proteasas

18
Q

SIRI se presenta de las 2-4 sm

A

Empeora los síntomas basales

19
Q

Papa bacilifero en un niño de 4años la prueba de tuberculina es negativa el tx es

A

Iniciar quimio profilaxis con isoniacida 6 meses supervisada

20
Q

Prevención

A

Vacunación BCG (bacilos cálmete guerin )

21
Q

Alteración ósea le DAS 9 meses de tx

A
22
Q

A quien se le da 9 meses de tx

A

VIH
INMUNOCOMPROMISO
TRANSPLANTE
DOSIS ALTAS DE ESTEROIDES

INFECTOLOGIA AMIR (9 decks)

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