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10 Cards in this Set

  • Front
  • Back
TB
P->P; aerosol; latent or active
TB screening
PPD, local response, 48-72 hrs to read

quantiferon gold - fast blood test, one Dr visit
TB tx goal
kill active AND resting to prevent relapse

use DOT (direct observation) - gold std for compliance
phases of TB tx
1. induction - kill acive/dividing: 2 mo, 4-6 meds

2. continuation - kill resting: 4 mo, @ least 2 meds
TB meds
INH
rifampin
pyrazinamide
ethamutol
**ALL liver toxic!
INH
primary, bactericidal
*periph neuropathy, optic tox, anemia
rifampin
broad spec (TB, leprosy, H flu, legionella)

*hepatitis, discolored body fluids
X coumadin, OC, HIV meds (PI, NNRTIs)
ethambutol
bacteriostatic
ALSO for m. avium
*optic, allergy, hyperuricemia
*stop w/ vision chg
X <8yrs
Leprosy
multi drug tx

dapsone + rifampin + clofazimine
*GI, HA, rash
MAC (m. avium)
prophylaxis (AIDS pts) and Tx avail.

Proph: azithromycin & clarithromycin

Tx: add ethambutol