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49 Cards in this Set

  • Front
  • Back

Fraction of TB cases in India as a function of the total no of cases in the world

25% or 1/4

Prevalence of TB in India

211 cases per lac / 26 lac cases annually

Incidence of TB in India

171 per lac

Success rate since 2005 among smear positive cases

85%

Current success rate among smear positive cases

86%

Annual risk of TB infection

1.5% or 75 new cases per lac population

% of communicable disease deaths due to TB

17.6

% of all deaths due to TB

3.5

TB mortality in India per Park 23rd

19 per lac

Best parameter for evaluating trend of TB

Incidence

Best practical index for estimating number of infectious cases

Prevalence

One case of PTB infects how many persons on average in 1 year?

10-15

% reduction in infectivity with effective antimicrobial treatment?

90% in 48 hours

Definition of TB control

Prevalence of natural infection in the age group of 0-14 is of the order of 1% - currently 40% in India

Advisable daily upper limit for smear examination by 1 microscopist

20

Number of organisms per ml for sputum smear positivity

10k

Current gold standard for TB diagnosis

2nd generation NAAT

One TU is equal to how many mg of PPD

0.00002

Strength of TU used for routine testing by vaccinating teams in India

1 TU of PPD in 0.1ml on the flexor surface of forearm

Inference of tuberculin test positivity in child under 2 yrs

Indirect evidence if active lesion

Incentive to DOTS agent on completion of a patients treatment

150


Site of diagnosis of MDR

Intermediate reference laboratories accredited to perform culture and sensitivity testing

Main reason for childhood TB

Failure of TB control in adults

Commonest age for childhood TB

1-4 years

Drug doses of H R Z E S in mg/kg1

10-15, 10, 35, 15, 30

Condition for chemo prophylaxis in infants

Smear positive mother or any other household members

Duration of chemo prophylaxis in infants

3m initially - then do a mantoux - if positive continue for 6m, if negative stop and give BCG

Usual dose of BCG

0.1mg in 0.1ml

Prevalence of MDR in new cases in India

2.2%

Prevalence of MDR in retreatment cases in India

15%

Objectives of RNTCP / DOTS wrt case detection and cure rate

70 and 85 % respectively

Objectives of TB free India programme wrt case detection and cure rate

90% detection


90% cure rate in new cases



85% cure rate in re treatment cases

Lifetime probability of developing disease in TB infected individuals who are otherwise normal

5-10%

% of TB load in children

10%

% of new cases in India that are pediatric

5 %

Medium used for micro colony detection on solid media

Middle Brook 7H11 agar

Medium used in radiometric BACTEC 460 TB method

7H12

Basis of BACTEC method

Detects TB based on metabolism, reported in terms of growth index

Basis of MGIT 960 mycobacteria detection system

O2 utilisation and subsequent intensification of O2 quenched fluorescent dye

Basis of MB/BACT system

Colorimetric detection of CO2. It is a non radiometric, continuous monitoring system

Number of organisms that can be identified with PCR, provided appropriate sequences for MTB are selected

10-1000

MC target gene for PCR

IS6110

Site of Ghon's focus

Upper part of lower lobe

Best sample for PCR, positivity of which indicates a definite diagnosis of TB

CSF

Line probe assay - prerequisite, time taken, genes detected

Only for sputum smear positive pulmonary TB



2 days



rpo B gene, kat G gene, inh A gene

Gene Xpert : prerequisite, time taken, genes detected

Can be used in sputum smear positive pulmonary, smear negative, extrapulmonary



2 hrs



rpo B gene only

Basis of quantiferon test

PPD

Basis of quantiferon gold test

ESAT 6 and CFP 10

Basis of T spot TB

RD 1 specific antigen