Tuberculosis Flashcards
1
Q
Latent Tuberculosis- Reporting
A
None required
2
Q
Latent Tuberculosis- Risks
A
Immunocompromised, healthcare worker, from or extensive travel to endemic areas
3
Q
Latent Tuberculosis- Sx
A
- Asymptomatic
- TST screening identifies
4
Q
Latent Tuberculosis- Dx
A
- Rule out: HIV
- TST or IGRA
- CXR- r/o active disease
5
Q
Latent Tuberculosis- Tx
A
Tx to reduce reactivation into clinical disease
- rifampin/ pyrazinamide x 3 months
- Isoniazid
6
Q
Latent Tuberculosis- Eti
A
- Infected with M tuberculosis w/o active disease
- Exposure to or from endemic area
- 1/3 worlds population infected
- 9 million new cases, 1.7 million deaths
7
Q
Active tuberculosis- Sx
A
- Hx + constitutional symptoms and productive cough
- Blood tinged sputum
- Pleuritic chest pain
8
Q
Active Tuberculosis- Dx
A
- Acid fast bacilli
+ sputum culture - CXR- miliary pattern, apical and posterior of upper lobe
- TST and IGRA as supplement- negative doesn’t indicate no infection
- Extrapulmonary manifestations
9
Q
Active Tuberculosis- Tx
A
- Rifampin, INH, pyrazinamide & ethambutom x 2 months
- Directly observed therapy
10
Q
Active Tuberculosis- Reporting
A
Must be reported to health department
11
Q
CDC guidelines- Latent to active Tb Prevention
A
- Isonzine-rifapentamine to prevent progression to active disease
- Once treated, no need to treat again regardless of additional PPD IGRA results
