Treatment FAQ

what can be done to reduce the risk of treatment-emergent resistance with tb

by Mr. Rick O'Conner V Published 2 years ago Updated 1 year ago

Depending on the regimen, the duration of this preventive treatment can vary from 3 to 9 months. Also, you may help prevent drug-resistant TB by taking all of your TB medications as prescribed. Skipping doses or stopping treatment altogether may increase your risk of developing drug-resistant TB.

Full Answer

Is there a way to prevent tuberculosis?

TB Prevention. If you take your medicine as instructed, it can keep you from developing TB disease. Because there are less bacteria, treatment for latent TB infection is much easier than treatment for TB disease. A person with TB disease has a large amount of TB bacteria in the body. Several drugs are needed to treat TB disease.

How do you get drug resistant tuberculosis?

Drug-Resistant TB. Drug-resistant TB (DR TB) is spread the same way that drug-susceptible TB is spread. TB is spread through the air from one person to another. The TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings. People nearby may breathe in these bacteria and become infected.

What are the different types of drug resistant tuberculosis?

Types of Drug Resistant TB. Multidrug-Resistant TB (MDR TB) Multidrug-resistant TB (MDR TB) is caused by TB bacteria that is resistant to at least isoniazid and rifampin, the two most potent TB drugs. These drugs are used to treat all persons with TB disease. TB experts should be consulted in the treatment of MDR TB.

Is there a cure for latent TB infection?

If you take your medicine as instructed, it can keep you from developing TB disease. Because there are less bacteria, treatment for latent TB infection is much easier than treatment for TB disease. A person with TB disease has a large amount of TB bacteria in the body. Several drugs are needed to treat TB disease.

How can we prevent drug resistance in TB?

The most important way to prevent the spread of drug-resistant TB is to take all TB drugs exactly as prescribed by the health care provider. No doses should be missed and treatment should not be stopped early.

What is an emerging problem with the treatment of tuberculosis?

There are several major problems associated with the currently available TB treatment. First, the duration and complexity of treatment result in nonadherence to treatment. This leads to suboptimal response (failure and relapse), the emergence of resistance, and continuous spread of the disease (168).

How can you help in reducing the TB burden?

Advocacy and health promotionIncreasing advocacy to national and local stakeholders to allocate more resources for TB services.Educating patients and their communities through health promotion activities.

What method was developed to help prevent the development of drug-resistant TB?

Bacillus Calmette–Guérin (BCG) vaccination prevents severe forms of TB in children and may have a protective effect against lung disease among children and adults (although estimates of efficacy for pulmonary disease greatly vary).

Why the treatment of tuberculosis is difficult?

If you have TB, you will need to take several drugs. This is because there are many bacteria to be killed. Taking multiple drugs also helps to prevent the bacteria from becoming drug resistant and, thus, much more difficult to cure. If you have TB of the lungs, or pulmonary TB, you are probably infectious.

What method monitors the effectiveness of the treatment regimen for TB?

The use of sputum smear microscopy and culture rather than sputum smear microscopy alone is recommended for the monitoring of patients with multidrug-resistant TB (MDR-TB) during treatment (conditional recommendation/very low quality evidence) (2).

What are the most important steps that need to be taken to reduce the burden of tuberculosis?

2. Administrative control in the WHO policy1) Prompt identification of people with TB symptoms (triage) ... 2) Separation of infectious patients. ... 3) Control of the spread of the pathogen (cough etiquette and respiratory hygiene) ... 4) Minimizing the time spent in health care facilitie.

What are the risk factors and causes of TB?

Persons with Medical Conditions that Weaken the Immune SystemHIV infection (the virus that causes AIDS)Substance abuse.Silicosis.Diabetes mellitus.Severe kidney disease.Low body weight.Organ transplants.Head and neck cancer.More items...

How can we prevent TB from spreading at home?

Preventing TB transmission in households, masksHouses should be adequately ventilated;Anyone who coughs should be educated on cough etiquette and respiratory hygiene, and should follow such practice at all times;While smear positive, TB patients should: Spend as much time as possible outdoors;

Which specific method of prevention would you adopt for a disease like tuberculosis?

The risk of infection can be reduced by using a few simple precautions: good ventilation: as TB can remain suspended in the air for several hours with no ventilation. natural light: UV light kills off TB bacteria. good hygiene: covering the mouth and nose when coughing or sneezing reduces the spread of TB bacteria.

How does tuberculosis become drug resistant?

Drug resistance in TB remains a man-made phenomenon. It emerges as a result of spontaneous gene mutations in M. tuberculosis that render the bacteria resistant to the most commonly used anti-TB drugs. Among the reasons for this, the non-compliance with the treatment regimens is signaled as the first cause.

What is the problem with TB?

TB is caused by bacteria (Mycobacterium tuberculosis) and it most often affects the lungs. TB is spread through the air when people with lung TB cough, sneeze or spit. A person needs to inhale only a few germs to become infected. Every year, 10 million people fall ill with tuberculosis (TB).

What are the challenges of having TB?

Major challenges to control TB in India include poor primary health-care infrastructure in rural areas of many states; unregulated private health care leading to widespread irrational use of first-line and second-line anti-TB drugs; spreading HIV infection; poverty; lack of political will; and, above all, corrupt ...

Why is treatment for TB generally continued long term after the infection appears to be wiped out?

tuberculosis to other persons. To ensure that these goals are met, TB disease must be treated for at least 6 months and in some cases even longer. Most of the bacteria are killed during the first 8 weeks of treatment; however, there are persistent organisms that require longer treatment.

Does TB treatment make you sick?

The main side effects are stomach upsets and discomfort, nausea and loss of appetite. Vomiting and diarrhoea may occur although this is rare. Mild flushing, itchiness, skin and a pale rash are often brief side effects, and are not reasons to stop your TB treatment.

How to reduce antibiotic resistance?

How to reduce the spread of antibiotic resistance 1 Do not use antibiotics to treat viral infections, such as influenza, the common cold, a runny nose or a sore throat. Ask your doctor for other ways to feel better. 2 Use antibiotics only when a doctor prescribes them. 3 When you are prescribed antibiotics, take the full prescription even if you are feeling better. Ensure that members of your family do the same. 4 Never share antibiotics with others or use leftover prescriptions.

When to use antibiotics?

Use antibiotics only when a doctor prescribes them. When you are prescribed antibiotics, take the full prescription even if you are feeling better. Ensure that members of your family do the same. Never share antibiotics with others or use leftover prescriptions.

What is the best strategy to educate people about antibiotic resistance?

Above all things, continuous efforts to educate people about antibiotic resistance are the very important strategy. The multidisciplinary core group, including physicians, pharmacists, microbiologists, epidemiologists and infectious disease specialists, can educate various members of society. In hospitals, prescribers should use antibiotics, based ...

What data should be used to prescribe antibiotics?

In hospitals, prescribers should use antibiotics, based on the recommendation of guidelines and ASPs, and through considering various data such as PK/PD and MIC/MPC of antibiotics, diagnostic testing results, AST results, clinical response, and effects on the microbiota.

What are the commonly used agents of hand hygiene?

Therefore, further studies on the commonly used agents of hand hygiene, including alcohol, chlorohexidine, chloroxylenol, iodine, triclosam, and octenidine [158], are required. In addition to hand hygiene, gloves, gowns, uniforms, and plastic aprons should also be considered.

Is antibiotic prescribing in primary care important?

As most of the antimicrobial agents are used in primary care [122,123], education on antibiotic prescribing in primary care is important. Some reports demonstrate that, notwithstanding the advice to decrease antibiotic prescribing in primary healthcare, misuse or overuse of antibiotics continues [124,125].

Is carbapenem hydrolyzed by ESBL?

As carbape nems are not hydrolyzed by ESBLs, carbapenem (primarily imipenem) use was associated with significantly low 14-day mortality (8%) in patients with Klebsiellabacteremia, as compared to 25% with quinolones, 50% with cefepime, and 67% with piperacillin/tazobactam [34].

Is M. tuberculosis resistant to fluoroquinolone?

tuberculosisthat, in addition to being MDR, are also resistant to any fluoroquinolone and to at least one of the three injectable drugs (kanamycin, capreomycin, and amikacin) [12,13].

Can antibiotic resistance be overcome?

But, the use of antibiotics in veterinary medicine, agriculture, and aquaculture needs to be reduced. If the introduction of resistance gene s into human through food animals is not restricted, the problem of antibiotic resistance in human medicine will not be overcome.

What is TB resistant?

Treatment of Drug-Resistant TB. Drug-resistant TB is caused by TB bacteria that are resistant to at least one first-line anti-TB drug.

What are some examples of drug resistant TB?

Causes of Drug Resistant TB. Drug-resistant TB can occur when the drugs used to treat TB are misused or mismanaged. Examples of misuse or mismanagement include. People do not complete a full course of TB treatment. Health care providers prescribe the wrong treatment (the wrong dose or length of time)

What is XDR TB?

Extensively Drug-resistant TB (XDR TB) Extensively drug-resistant TB (XDR TB) is a rare type of MDR TB that is resistant to isoniazid and rifampin, plus any fluoroquinolone and at least one of three injectable second-line drugs (i.e., amikacin, kanamycin, or capreomycin). Because XDR TB is resistant to the most potent TB drugs, ...

Why is XDR TB so resistant to TB drugs?

Because XDR TB is resistant to the most potent TB drugs, patients are left with treatment options that are much less effective. XDR TB is of special concern for people with HIV infection or other conditions that can weaken the immune system.

How is TB spread?

TB is spread through the air from one person to another. The TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks, or sings. People nearby may breathe in these bacteria and become infected. Causes of Drug Resistant TB.

What is the disease caused by bacteria that are spread from person to person through the air?

Tuberculosis ( TB) is a disease caused by bacteria that are spread from person to person through the air. TB usually affects the lungs, but it can also affect other parts of the body, such as the brain, the kidneys, or the spine.

Do not take TB drugs?

Do not take their TB drugs regularly. Do not take all of their TB drugs. Develop TB disease again, after being treated for TB disease in the past. Come from areas of the world where drug-resistant TB is common. Have spent time with someone known to have drug-resistant TB disease. Types of Drug Resistant TB.

What are the barriers to treatment for TB?

Patients with TB often face issues that complicate and can act as barriers to treatment, such as substance abuse, homelessness, unemployment, and lack of healthcare access. Effective case management may obviate the need for legal interventions.

What is the goal of a tuberculosis treatment plan?

The goal of the treatment plan is to achieve treatment to cure by the least restrictive means.

What is LTBI treatment?

The final two bullets address treatment for latent tuberculosis infection (LTBI). Treatment of LTBI is generally initiated after the possibility of TB disease is excluded, and has been proven to greatly reduce the risk that individuals latently infected with TB will progress to TB disease.

What is direct observation therapy?

1) Health care providers may prescribe DOT as a method to monitor the adherence of a patient to his or her prescribed treatment for tuberculosis disease. Health care providers may utilize the Department’s TB Standards of Care as a guideline for appropriate utilization of DOT.

Who should take medicine for TB?

People who are sick with other diseases that weaken the immune system. Elderly people. People who were not treated correctly for TB in the past. If you have latent TB infection and you are in one of these high-risk groups, you should take medicine to keep from developing TB disease.

Why is latent TB easier to treat?

Because there are less bacteria, treatment for latent TB infection is much easier than treatment for TB disease. A person with TB disease has a large amount of TB bacteria in the body. Several drugs are needed to treat TB disease. Learn about TB Risk Factors.

What are the risks of latent TB?

Many people who have latent TB infection never develop TB disease. But some people who have latent TB infection are more likely to develop TB disease than others. Those at high risk for developing TB disease include: 1 People with HIV infection 2 People who became infected with TB bacteria in the last 2 years 3 Babies and young children 4 People who inject illegal drugs 5 People who are sick with other diseases that weaken the immune system 6 Elderly people 7 People who were not treated correctly for TB in the past

Who is at high risk for developing TB?

Those at high risk for developing TB disease include: People who became infected with TB bacteria in the last 2 years. People who are sick with other diseases that weaken the immune system. People who were not treated correctly for TB in the past.

Is air travel a risk factor for TB?

Air travel itself carries a relatively low risk of infection with TB of any kind. Travelers who will be working in clinics, hospitals, or other health care settings where TB patients are likely to be encountered should consult infection control or occupational health experts.

What is TB disease?

When TB germs are active (multiplying in your body), this is called TB disease. These germs usually attack the lungs. They can also attack other parts of the body, such as, the kidneys, brain, or spine. TB disease will make you sick. People with TB disease can spread the germs to people they spend time with every day.

What test is used to detect TB?

There are two tests that can be used to help detect TB infection: a TB skin test or TB blood test. The skin test is used most often.

What is TB short for?

What is TB? “TB” is short for a disease called tuberculosis . TB is spread through the air from one person to another. TB germs are passed through the air when someone who is sick with TB disease of the lungs or throat coughs, speaks, laughs, sings, or sneezes. Anyone near the sick person with TB disease can breathe TB germs into their lungs.

How to tell if you have TB?

This blood test measures how a person’s immune system reacts to the germs that cause TB. To tell if someone has TB disease, other tests such as chest x-ray and a sample of sputum (phlegm that is coughed up from deep in the lungs) may be needed.

How long does it take for TB to kill?

If you have TB disease, it takes six months and possibly as long as one year to kill all the TB germs.

Can you take medicine for TB?

It is important that you take your medicine exactly as your doctor or health care worker tells you . TB disease can also be treated by taking medicine. If you have TB disease, it is very important that you finish the medicine, and take the drugs exactly as you are told.

Can TB be passed on?

This is called latent TB infection. This means you have only inactive (sleeping) TB germs in your body. The inactive germs cannot be passed on to anyone else.

How does prevent TB work?

Prevent TB facilitates the evaluation of contacts where they live or in a health facility. It allows monitoring throughout the cascade of preventive care, capturing data at the time of identification of the contact and registration, clinical assessment, screening for active TB, testing for infection and treatment. The platform prompts the health system automatically when there are gaps in this process and also generates indicators of performance.#N#The demo version of the Prevent TB platform published on this website allows countries to test it out for their specific needs. The test version consists of three components.#N#This platform was developed by the WHO Global TB Programme, with support from the European Respiratory Society and Dure Technologies.

How common is TB?

Tuberculosis (TB) infection is extremely common: an estimated one-quarter of the world’s population is infected. People with TB infection risk developing TB disease and this risk depends on multiple factors, the most important being the state of their immune system.

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