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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent Tuberculosis Infection

Hi.. My husband has got tb infection again with in 2 years.he was treated 6 months when he last got diagnosed. Now he is taking medicine for two months which included streptomycin injections(24 in number). Yesterday drug sensitivity report shows that he is resistant to streptomycin, but sensitive to other first line drugs. Sir , my question is what will be the line of treatment now and why his problem occured again if he was sensitive to the last treament taken. He is following dots. In govt hospitals doctors niether tell anything nor guide.pls help
Fri, 31 Jul 2015
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General & Family Physician 's  Response
Hi & Welcome to HCM.
I appreciate your concern for your beloved husband's illness.

TB is a chronic disease, for treatment of which a combination of various antibiotics are used in the form of either self administered short course chemotherapy or directly observed treatment- DOT (under the supervision of a health care provider) for a particular duration of time.

Since the offending bacteria are resistant to inj streptomycin, so this drug will not be effective hence another alternate drug like Ethambutol can be taken.
The reason of recurrent infection could be either inadequate treatment or non compliance to the prescribed medications.

Given when compliance is doubtful DOT is the best way to eradicate the infection.
Following drugs are found to be effective and hence given under the supervision of the health care provider like doctor or nurse to improve the compliance and hence the success rate.

Isoniazid, Rifampicin, Pyrazinamide & Ethambutol are given 3 times a week for first 2 months
Followed by Isoniazid & Rifampicin 3 times a week for 4 months
Vitamin Pyridoxine is supplemented to prevent the side effect of Isoniazide.

Besides he is encourage to take a high protein diet (meat, fish, poultry, milk) along with fruits and vegetables.

Hope to have answered your query.

Wishing your husband a quick recovery.
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Suggest Treatment For Recurrent Tuberculosis Infection

Hi & Welcome to HCM. I appreciate your concern for your beloved husband s illness. TB is a chronic disease, for treatment of which a combination of various antibiotics are used in the form of either self administered short course chemotherapy or directly observed treatment- DOT (under the supervision of a health care provider) for a particular duration of time. Since the offending bacteria are resistant to inj streptomycin, so this drug will not be effective hence another alternate drug like Ethambutol can be taken. The reason of recurrent infection could be either inadequate treatment or non compliance to the prescribed medications. Given when compliance is doubtful DOT is the best way to eradicate the infection. Following drugs are found to be effective and hence given under the supervision of the health care provider like doctor or nurse to improve the compliance and hence the success rate. Isoniazid, Rifampicin, Pyrazinamide & Ethambutol are given 3 times a week for first 2 months Followed by Isoniazid & Rifampicin 3 times a week for 4 months Vitamin Pyridoxine is supplemented to prevent the side effect of Isoniazide. Besides he is encourage to take a high protein diet (meat, fish, poultry, milk) along with fruits and vegetables. Hope to have answered your query. Wishing your husband a quick recovery.