Pulmonology Book

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Possibly Resistant Tuberculosis TreatmentAka: Possibly Resistant Tb Treatment

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  1. See Also
    1. Tuberculosis
    2. Latent Tuberculosis Treatment
    3. Active Tuberculosis Treatment
      1. Susceptible Tuberculosis Treatment
      2. Multiple Drug Resistant Tuberculosis Treatment
  2. Indications
    1. Isoniazid Resistance >4% in patient's community
    2. Human Immunodeficiency Virus (HIV)
    3. Prior Tuberculosis exposure
  3. Management
    1. Initial: Four drug therapy for 2 months
      1. Isoniazid
      2. Rifampin
      3. Pyrazinamide
      4. Ethambutol or Streptomycin
    2. Subsequent Dosing
      1. If Isoniazid susceptible, treat for 6 months
        1. Isoniazid
        2. Rifampin
      2. If Isoniazid resistant THEN
        1. Protocol A: Treat for 6 months
          1. Rifampin
          2. Pyrazinamide AND
          3. Ethambutol OR Streptomycin
        2. Protocol B: Treat for 12 months
          1. Rifampin
          2. Ethambutol
      3. If Extrapulmonary Tuberculosis, treat for >9 months
        1. Disseminated tuberculosis
        2. Osteomyelitis
        3. Meningitis
        4. Human Immunodeficiency Virus (HIV)
      4. If Tuberculosis Meningitis
        1. Continue Pyrazinamide for full course

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