BASICS OF TUBERCULOSIS

1. TUBERCULOSIS
Dr. Anuj Singh
Asst. Professor
Community Medicine Dept.
UIMS, Prayagraj

24. •Chest X-ray

27. •Sputum smear
microscopy

29. Ziehl–Neelsen staining-

31. •Mantoux
tuberculin skin
test (tst)

37. Newer test for TB
1. QuantiFERONTB
Gold Test
2. CBNAAT

38. 1. QuantiFERON-TB Gold-
• The most accurate and reproducible results
for TB infection
• Commonly known as an IGRA
• Modern alternative to the tuberculin skin test
• Unaffected by previous (BCG) vaccination
• Highly specific and sensitive
• Cannot distinguish between active
tuberculosis disease and latent tuberculosis
infection

39. 2.CBNAAT-
• The cartridge-based nucleic acid amplification
test (CBNAAT) assay is a real-time polymerase
chain reaction (PCR) cartridge-based assay for
the simultaneous detection of Mycobacterium
tuberculosis complex and rifampicin
resistance from biological specimen samples
within two hours.

40. •Treatment

43. Second line ATT cont..

44. Phases of TB treatment
• Regimens for treating TB
disease have an intensive
phase of 8 weeks, followed by
a continuation phase of either
16 weeks.

45. Mgmt of
TB
Drug
Resistant TB
Drug
Sensitive TB

46. Drug sensitive tuberculosis

47. Pre- Treatment
counseling &
evaluation

48. Wight band combination

53. BCG vaccine:
prevent childhood tuberculous
meningitis and miliary disease.

54. Thank You !