Category: Health News
Created: 9/16/2008
Last Editorial Review: 9/16/2008
Blast mycosis
Cat scratch disease
Patients diagnosed with active TB should have sputum examined for M tuberculosis weekly until sputum conversion is documented. Monitoring for toxicity includes baseline and periodic liver enzymes, complete blood count, and serum creatinine.
It is critical that hopitalized patients with suspected or documented TB be placed in appropriate isolation. This includes a private room with negative pressure and adequate air exchanges. Persons entering the room must wear masks or respirators capable of filtering droplet nuclei.
o INH daily for 9 months
Deterrence/Prevention:
Other Problems to be Considered:
Recommended regimens in patients with HIV infection include pyrazinamide plus rifampin daily for 2 months, rifampin alone daily for 4 months, or 9 months of INH (daily or twice weekly). Patients on antiretroviral therapy may need rifabutin in place of rifampin.
o INH daily for 6 months (should not be used in patients with fibrotic lesions on chest radiograph, patients with HIV, or children)
Patients should remain in isolation until sputum becomes smear-negative; however, patients ordinarily should not be kept in the hospital for the sole purpose of providing isolation, Special arrangements are necessary for patients who live with children, individuals infected with HIV, patients returning to a closed-group setting (eg, nursing home, correctional facilities, residential facility, homeless shelter).
o INH twice weekly for 6 months (given as DOT, should not be used in patients with fibrotic lesions on chest radiograph, patients with HIV, or children)
Tuberculosis (TB) Part 3
o Rifampin plus pyrazinamide daily for 2 months
In addition, patients on pyrazinamide should have baseline or periodic serum uric acid determinations, and patients on long-term ethambutol therapy should have baseline or periodic visual acuity and red-green color perception testing. The latter can be performed with a standard test such as Inhihara test for color blindness.
o INH twice weekly for 9 months (given as DOT)
o Rifampin daily for 4 months
Patients with a clinically significant result on tuberculin skin testing (see other tests) should be given a course of therapy once active infection and disease is ruled out. Guidelines published by the CDC in 2000 now refer to this as treatment of latent TB. The recommended regimens are listed below:
Further Outpatient Care:
Sinus Headache Symptoms
acute sinusitis
allergic sinusitis headache
allergic sinusitis headache
allergic sinusitis infection
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