Dr Ira Shah: Diagnosis of TB-When to Treat and Not to Treat
 
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Dr Ira Shah: Diagnosis of TB-When to Treat and Not to Treat
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Dr Ira Shah discusses about Diagnosis of TB-when to treat and not to treat. Usual recommendation to start 2nd line AKT –only when there is bacteriological confirmation. A 4 years old boy was referred for non-healing pulmonary TB. Diagnosed to have pulmonary TB at the age of 2 years in view of positive AFB on GL. Treated with ATT for 9 months. Chest X-ray continued to show bilateral mid and lower zone haziness. Sputum smear :AFB positive. Strong clinical suspicion of MDR TB. Started on 2nd line ATT pending culture reports. Sometimes time is an essence and treatment may have to be started pending culture reports. WHO recommends a wait and watch policy in such a situation and to treat the child only when the child becomes symptomatic.

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