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10 Cards in this Set
- Front
- Back
TB
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P->P; aerosol; latent or active
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TB screening
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PPD, local response, 48-72 hrs to read
quantiferon gold - fast blood test, one Dr visit |
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TB tx goal
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kill active AND resting to prevent relapse
use DOT (direct observation) - gold std for compliance |
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phases of TB tx
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1. induction - kill acive/dividing: 2 mo, 4-6 meds
2. continuation - kill resting: 4 mo, @ least 2 meds |
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TB meds
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INH
rifampin pyrazinamide ethamutol **ALL liver toxic! |
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INH
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primary, bactericidal
*periph neuropathy, optic tox, anemia |
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rifampin
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broad spec (TB, leprosy, H flu, legionella)
*hepatitis, discolored body fluids X coumadin, OC, HIV meds (PI, NNRTIs) |
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ethambutol
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bacteriostatic
ALSO for m. avium *optic, allergy, hyperuricemia *stop w/ vision chg X <8yrs |
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Leprosy
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multi drug tx
dapsone + rifampin + clofazimine *GI, HA, rash |
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MAC (m. avium)
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prophylaxis (AIDS pts) and Tx avail.
Proph: azithromycin & clarithromycin Tx: add ethambutol |