Professional Documents
Culture Documents
Latent period :
Infection enters latent period – persists for many years without producing clinical symptoms.
(clients with diabetes, HIV, chemotherapy or long term steroids.)
Secondary Tuberculosis : reactivation of initial infection .
Diagnostic tests
3 consecutive early morning sputum sent for (AFB)acid-fast bacillus smear and culture.
Chest Xray
Fiberoptic bronchoscopy, gastric lavage, gastric aspiration.
Medical and surgical management
Medical Management for Pulmonary Tuberculosis
2 factors making drug therapy less than ideal
- Drug toxicity.
- Tendency of tubercle bacilli to develop drug resistance.
- Isoniazide – numbness, tingling, burning in extremities. (pyridoxine (vit. B6) to prevent this
effect.
- Rifampin – changes color of saliva tears, urine.
- Streptomycin – affects hearing balance.
- Ethambutol – affects vision and color perception.
- Isoniazide daily for 6-12 months is used to prevent active TB.