Treatment FAQ

how long one can have baby after tuberculosis treatment

by Clara Boyer Published 2 years ago Updated 1 year ago
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Full Answer

When should tuberculosis (TB) treatment be initiated during pregnancy?

Treatment of pregnant women should be initiated whenever the probability of TB is moderate to high. Infants born to women with untreated TB may be of lower birth weight than those born to women without TB and, in rare circumstances the infant may be born with TB.

What happens if a baby has TB?

If a baby has TB disease, the germs have multiplied and symptoms are more likely. People with TB disease can spread it to others (although babies and young children usually don't). What are the symptoms of TB in babies?

What should I do if my baby has TB?

If your baby has been infected with TB, it’s important to find out how he developed the disease, even if he doesn’t have symptoms. So other family members might need to be tested for TB. If they test positive, even if they don’t have symptoms, they will need treatment.

What is the prognosis of untreated tuberculosis (TB) during pregnancy?

Untreated tuberculosis (TB) disease represents a greater hazard to a pregnant woman and her fetus than does its treatment. Treatment should be initiated whenever the probability of TB is moderate to high.

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Can I have a baby after TB treatment?

After completion of treatment for latent TB, infertile women had nearly 52% successful pregnancy compared with 40.5% in the case of infertile women who did not have latent TB. Latent TB treatment did improve the chances of pregnancy.

Can TB patient can conceive?

Two out of 10 women suffering from TB cannot bear children, but experts say that with advanced medical treatment now available, if the diagnosis is early enough, GTB can be treated and the woman can regain fertility. “Kala was treated for nine months for tuberculosis.

Does TB affect future pregnancy?

M. tuberculosis affects the female genital organs, especially the fallopian tubes, and thereby causes infertility. It can occur in any age group, but women in the reproductive age group (15-45 yr) are the most affected18.

Can TB medication affect fertility?

Anti-TB treatment has a negative effect on the ejaculate: a twomonth course of anti-TB therapy resulted in a decrease of sperm quantity 23.9%, decreased a number of actively motile sperm by 10.6% and the number of morphologically normal sperm-by 32.3% [57].

Can I get married after TB treatment?

Finally, treatment of TB requires a 6-month or more course of drug therapy and participants generally considered it preferable to delay marriage until the course has been completed.

Can a mother with TB breastfeed?

If you have tuberculosis (TB), you may breastfeed if you are currently taking medication. Mothers with untreated TB at the time of delivery should not breastfeed or be in direct contact with their newborn until they have started appropriate drug treatment and they are no longer infectious.

Are anti TB drugs safe for pregnancy?

All 4 first line drugs [isoniazid, rifampicin (rifampin), ethambutol and pyrazinamide] have an excellent safety record in pregnancy and are not associated with human fetal malformations.

Does TB affect uterus?

Uterine (endometrial) factors Genital TB affects endometrial receptivity leading to defective endometrial markers and vascularization of the endometrium, and endometrial atrophy and synechiae formation26.

How does tuberculosis affect the reproductive system?

This disease is an important cause of infertility, menstrual irregularity, pregnancy loss, and in association with pregnancy, morbidity to both the mother and child increases. Some of the effects of TB infection on female genital tract could be remote in nature due to infection elsewhere.

TB in Children in The United States

TB disease in children under 15 years of age (also called pediatric tuberculosis) is a public health problem of special significance because it is...

Testing For TB in Children

In the absence of symptoms, usually the only sign of TB infection is a positive reaction to the TB skin test or TB blood test. TB skin testing is c...

Signs and Symptoms of TB Disease in Children

Signs and symptoms of TB disease in children include: 1. Cough; 2. Feelings of sickness or weakness, lethargy, and/or reduced playfulness; 3. Weigh...

How long does it take to treat TB in children?

Children over 2 years of age can be treated for latent TB infection with once-weekly isoniazid-rifapentine for 12 weeks. Alternative treatments for latent TB infection in children include 4 months of daily rifampin or 9 months of daily isoniazid.

How long does it take for TB to go away?

TB disease is treated by taking several anti-TB medicines for 6 to 9 months. It is important to note that if a child stops taking the drugs before completion, the child can become sick again. If drugs are not taken correctly, the bacteria that are still alive may become resistant to those drugs.

Why is treatment recommended for children with latent TB?

Treatment is recommended for children with latent TB infection to prevent them from developing TB disease. Infants, young children, and immunocompromised children with latent TB infection or children in close contact with someone with infectious TB disease, require special consideration because they are at increased risk for getting TB disease.

Why is TB so common in adults?

In comparison to children, TB disease in adults is usually due to past TB infection that becomes active years later, when a person’s immune system becomes weak for some reason (e.g., HIV infection, diabetes).

Can children take TB medicine?

It is very important that children or anyone being treated for latent TB infection or TB disease take the drugs exactly as instructed by the doctor and finish the medicine.

Can TB cause lower birth weight?

Infants born to women with untreated TB may be of lower birth weight than those born to women without TB and, in rare circumstances, the infant may be born with TB. Although the drugs used in the initial treatment regimen for TB cross the placenta, they do not appear to have harmful effects on the fetus.

Is TB a hazard to pregnant women?

Untreated tuberculosis (TB) disease represent s a greater hazard to a pregnant woman and her fetus than does its treatment. Treatment should be initiated whenever the probability of TB is moderate to high. Infants born to women with untreated TB may be of lower birth weight than those born to women without TB and, in rare circumstances, ...

Can breast milk cause TB?

For the same reason, drugs in breast milk are not an effective treatment for TB disease or latent TB infection in a nursing infant. Breastfeeding women taking INH should also take pyridoxine (vitamin B6) supplementation. RIF can cause orange discoloration of body fluids, including breast milk.

Should breast feeding be discouraged?

Breastfeeding should not be discouraged for women being treated with the first-line antituberculosis drugs because the concentrations of these drugs in breast milk are too small to produce toxicity in the nursing newborn. For the same reason, drugs in breast milk are not an effective treatment for TB disease or latent TB infection in a nursing infant.

Can TB be delayed during pregnancy?

For women who are at high risk for progression from latent TB infection to TB disease, especially those who are a recent contact of someone with infectious TB disease, treatment for latent TB infection should not be delayed on the basis of pregnancy alone, even during the first tri mester.

Is pyridoxine a 6 month regimen?

6- or 9-month daily regimen of INH (6H or 9H) , with pyridoxine (vitamin B6) supplementation. The 3-month weekly INH and rifapentine (3HP) regimen is not recommended for pregnant women or women expecting to become pregnant during the treatment period because its safety during pregnancy has not been studied. TB Disease.

How long does it take to treat TB in children?

Children over 2 years of age can be treated for latent TB infection with once-weekly isoniazid-rifapentine for 12 weeks. Alternative treatments for latent TB infection in children include 4 months of daily rifampin or 9 months of daily isoniazid.

Who should be involved in the treatment of TB in children?

A pediatric TB expert should be involved in the treatment of TB in children and in the management of infants, young children, and immunocompromised children who have been exposed to someone with infectious TB disease. It is very important that children or anyone being treated for latent TB infection or TB disease finish the medicine and take the drugs exactly as instructed.

Why is TB less likely to be detected in children?

The laboratory tests used to find TB in sputum are less likely to have a positive result in children; this is due to the fact that children are more likely to have TB disease caused by a smaller number of bacteria (paucibacillary disease).

What is latent TB?

Latent TB Infection. Persons with latent TB infection: Usually have a skin test or blood test indicating TB infection; Have TB bacteria in their bodies, but the bacteria are not active; Are not sick and do not have symptoms; Cannot spread bacteria to others; and.

What happens if TB bacteria multiply?

TB Disease. If TB bacteria become active in the body and multiply, the person will get sick with TB disease. Persons with TB disease: Usually have a skin test or blood test indicating TB infection; Are sick from TB bacteria that are active (meaning that they are multiplying and destroying tissue in their body);

What is the cause of TB?

Basic TB Facts. TB is caused by a bacterium called Mycobacterium tuberculosis. TB bacteria are spread from person to person through the air. The TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings.

Why is TB a public health problem?

TB disease in children under 15 years of age (also called pediatric tuberculosis) is a public health problem of special significance because it is a marker for recent transmission of TB. Also of special significance, infants and young children are more likely than older children and adults to develop ...

How long should a baby take TB medication?

Active TB disease: If your baby has TB disease, he'll probably take three or four medications for at least six months, depending on how serious the disease is. (Doctors recommend that a baby take several medications at once in case the bacteria are resistant to any of them.)

What to do if your baby has TB?

It's vital that your baby see a doctor immediately for diagnosis and treatment.

What is stage 1 TB?

Stage 1: TB infection (or laten t TB) If a baby has a TB infection, he has a small number of TB germs in his body, but his immune system is preventing them from causing symptoms. Someone infected with TB who doesn't have TB disease can't spread the bacteria to others but should be treated to prevent the development of the disease.

How to tell if a baby has TB?

Your baby will need a chest X-ray to determine whether he has TB disease. Examine your baby's cough secretions and stomach contents. The doctor will do this to look for further evidence of bacteria if the X-ray suggests an infection. This will determine which kind of treatment your baby needs.

How to diagnose TB in infants?

How is TB diagnosed in infants? If there's a chance that your baby has TB, the doctor will: Do a skin test. In what's called a tuberculin skin test, the doctor injects an extract of TB bacteria into your baby's forearm. Then the doctor will check the tested area after 48 to 72 hours.

Why is TB less infectious in children?

That's because children's mucus secretions rarely contain many of the bacteria, and their cough isn't strong enough to spray the droplets into the air. Also, the forms of TB disease in children are usually less infectious than adult forms.

How long does it take for a blood test to come back negative?

Because it can take two to 12 weeks after a child first becomes infected for the test to be positive, the doctor may want to repeat the test in about three months if it comes back negative. Order a chest X-ray if the skin test or blood test is positive.

How long does it take for a child to get treated for tuberculosis?

Tuberculosis is treatable. Your child will be treated with a combination of medicines, taken as a single tablet, for at least six months, as it takes that long for the bacteria to die.

How to tell if a child has TB?

What are the symptoms of TB in children? 1 has had a cough for more than two weeks that won't go away 2 has swollen lymph glands 3 has a fever, particularly at night 4 is not gaining weight 5 is losing weight 6 has lost his appetite 7 has recently been in contact with someone who has TB

How does TB spread?

TB spreads through the air when an infected person coughs or sneezes, speaks or sings. People can catch TB when they breathe in their bacteria. They are more likely to catch an infection in small enclosed areas and in areas with poor ventilation.

What to do if your child coughs up phlegm?

If your child is able to cough up some phlegm, then the doctor will check this for bacteria. Your doctor will use the results of these tests, together with an assessment your child’s signs and symptoms to make a diagnosis of TB.

How many children in India have TB?

Every year around 200,000 children in India develop TB. TB is a notifiable disease in India, which means that doctors must report and monitor all cases of the disease. However, children with TB are usually less infectious than adults, and so are less likely than adults to spread TB bacteria to other people.

Is TB curable?

For a small number of people, the infection can travel via the bloodstream to another part of the body, such as the kidneys, bone marrow, brain and spine. With the right care and treatment, TB is curable.

Can a doctor test for TB?

This involves a small amount of TB protein being injected under the skin. It won’t give your child TB. Your doctor is also likely to order a chest X-ray. If your child is able to cough up some phlegm, then the doctor will check this for bacteria.

How to get rid of TB?

Throw the used tissue away. If possible, flush used tissues down a toilet. Avoid close contact with others. Babies and elderly people are at increased risk for TB. Tell family, friends, and coworkers that you have TB. They may have latent TB and need to take medicine to prevent it from becoming active.

What is TB in the body?

WHAT YOU NEED TO KNOW: Tuberculosis (TB) is a severe infection caused by bacteria called Mycobacterium tuberculosis. TB usually starts in the lungs. The bacteria are easily spread from one person to another through the air. They can live in your body a long time without making you sick. This is called latent TB.

How long do you need to take antibiotics for a syphilis infection?

Antibiotic medicine will help fight the infection. You will need to take 3 to 4 types of antibiotics for up to 8 weeks. Then you will need to take at least 2 types of antibiotics for another 18 to 31 weeks. Take your medicine as directed.

Can TB live in your body?

They can live in your body a long time without making you sick. This is called latent TB. Latent means you do not have symptoms, but you may develop them later. Latent TB can develop into active TB if it is not treated.

Can you stop TB treatment?

You might need more treatment if tests show there is still TB bacteria in your body, but most people will get the all-clear. Your treatment will not be stopped until you are cured.

Can you catch TB more than once?

It is possible to catch T B more than once, if you are unlucky enough to breathe in TB bacteria at another time. Always take new TB symptoms seriously and get them checked out by a doctor. After finishing treatment you might feel like looking at your life with new eyes. You have achieved a lot!

What to do if you think you have been exposed to TB?

If you think you have been exposed to someone with TB disease, you should contact your doctor or local health department about getting a TB skin test or a special TB blood test. Be sure to tell the doctor or nurse when you spent time with the person who has TB disease. It is important to know that a person who is exposed to TB bacteria is not able ...

Can TB spread to others?

Only persons with active TB disease can spread TB bacteria to others. Before you would be able to spread TB to others, you would have to breathe in TB bacteria and become infected. Then the active bacteria would have to multiply in your body and cause active TB disease.

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Introduction

  • Untreated tuberculosis (TB) disease represents a greater hazard to a pregnant woman and her fetus than does its treatment. Treatment of pregnant women should be initiated whenever the probability of TB is moderate to high. Infants born to women with untreated TB may be of lower …
See more on cdc.gov

Testing

  • The tuberculin skin test is considered both valid and safe to use throughout pregnancy. The TB blood test is safe to use during pregnancy, but has not been evaluated for diagnosing M. tuberculosisinfection in pregnant women. Other tests are needed to show if a person has TB disease.
See more on cdc.gov

Contraindications

  • The following antituberculosis drugs are contraindicated in pregnant women: 1. Streptomycin 2. Kanamycin 3. Amikacin 4. Capreomycin 5. Fluoroquinolones Women who are being treated for drug-resistant TB should receive counseling concerning the risk to the fetus because of the known and unknown risks of second-line antituberculosis drugs.
See more on cdc.gov

Breastfeeding

  • Breastfeeding should not be discouraged for women being treated with the first-line antituberculosis drugs because the concentrations of these drugs in breast milk are too small to produce toxicity in the nursing newborn. For the same reason, drugs in breast milk are not an effective treatment for TB disease or LTBI in a nursing infant. Breastfeeding women taking INH …
See more on cdc.gov

For More Information

  1. CDC. Treatment of tuberculosis.MMWR2003; 52 (No. RR–11).
  2. Errata
  3. American Thoracic Society/CDC. Targeted tuberculin testing and treatment of latent TB infection.pdf icon. (PDF) MMWR2000: 49(No. RR–6).
  4. CDC. Guidelines for using the QuantiFERON®-TB Gold test for detecting Mycobacterium tube…
  1. CDC. Treatment of tuberculosis.MMWR2003; 52 (No. RR–11).
  2. Errata
  3. American Thoracic Society/CDC. Targeted tuberculin testing and treatment of latent TB infection.pdf icon. (PDF) MMWR2000: 49(No. RR–6).
  4. CDC. Guidelines for using the QuantiFERON®-TB Gold test for detecting Mycobacterium tuberculosis infection, United Statespdf icon. (PDF) MMWR2005; 54 (No. RR-15).

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