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Tuberculosis Lecture 3.pptx (Tuberculosis a brief Introduction)
Introduction
 Tuberculosis (TB) is a contagious bacterial infectious disease caused by Mycobacterium
tuberculosis.
 It primarily affects the lungs but can also impact other organs like the brain, kidneys, and
spine (Extra Pulmonary TB).
 TB spreads through the air when an infected person coughs or sneezes.
 While many people carry the bacteria without symptoms (latent TB), active TB disease can
cause severe symptoms such as persistent cough, fever, weight loss, and night sweats.
 It remains a major public health concern worldwide.
TB DISEASE
 Untreated TB case can transmit
disease to at least 10-15 people
in a year
 Contacts of an active case are at
10 to 60 times higher risk of
developing the disease
Some Definitions
Presumptive TB Case: An individual who presents
with symptoms or signs suggestive of TB, such as a
persistent cough lasting two weeks or more,
unexplained weight loss, fever, or night sweats.
Some Definitions
 Microbiologically Confirmed TB Case: A
presumptive TB patient whose biological specimen
tests positive for acid-fast bacilli (AFB) through
smear microscopy, or shows Mycobacterium
tuberculosis growth on culture, or tests positive
using a rapid molecular test like Cartridge-Based
Nucleic Acid Amplification Test (CBNAAT).
Some Definitions
 Clinically Diagnosed TB Case: A patient not
confirmed microbiologically but diagnosed with
active TB by a clinician based on clinical signs,
radiological evidence (e.g., chest X-ray), or other
relevant investigations.
Some Definitions
1. DS-TB: Drug-sensitive tuberculosis
2. DR-TB: Drug-resistant tuberculosis
3. Multidrug-Resistant TB (MDR-TB): TB caused by
Mycobacterium tuberculosis strains resistant to at
least both isoniazid and rifampicin.
4. Extensively Drug-Resistant TB (XDR-TB): MDR-TB
strains that are also resistant to any
fluoroquinolone and at least one of the second-line
injectable drugs (amikacin, kanamycin, or
capreomycin).
5. UDST: Universal Drug-Susceptibility Testing
Public Health Action at Health Facility Level
Mandatory action at Health Facility Level
Mandatory action at community level
Thank you

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Tuberculosis Lecture 3.pptx (Tuberculosis a brief Introduction)

  • 2. Introduction  Tuberculosis (TB) is a contagious bacterial infectious disease caused by Mycobacterium tuberculosis.  It primarily affects the lungs but can also impact other organs like the brain, kidneys, and spine (Extra Pulmonary TB).  TB spreads through the air when an infected person coughs or sneezes.  While many people carry the bacteria without symptoms (latent TB), active TB disease can cause severe symptoms such as persistent cough, fever, weight loss, and night sweats.  It remains a major public health concern worldwide.
  • 3. TB DISEASE  Untreated TB case can transmit disease to at least 10-15 people in a year  Contacts of an active case are at 10 to 60 times higher risk of developing the disease
  • 4. Some Definitions Presumptive TB Case: An individual who presents with symptoms or signs suggestive of TB, such as a persistent cough lasting two weeks or more, unexplained weight loss, fever, or night sweats.
  • 5. Some Definitions  Microbiologically Confirmed TB Case: A presumptive TB patient whose biological specimen tests positive for acid-fast bacilli (AFB) through smear microscopy, or shows Mycobacterium tuberculosis growth on culture, or tests positive using a rapid molecular test like Cartridge-Based Nucleic Acid Amplification Test (CBNAAT).
  • 6. Some Definitions  Clinically Diagnosed TB Case: A patient not confirmed microbiologically but diagnosed with active TB by a clinician based on clinical signs, radiological evidence (e.g., chest X-ray), or other relevant investigations.
  • 7. Some Definitions 1. DS-TB: Drug-sensitive tuberculosis 2. DR-TB: Drug-resistant tuberculosis 3. Multidrug-Resistant TB (MDR-TB): TB caused by Mycobacterium tuberculosis strains resistant to at least both isoniazid and rifampicin. 4. Extensively Drug-Resistant TB (XDR-TB): MDR-TB strains that are also resistant to any fluoroquinolone and at least one of the second-line injectable drugs (amikacin, kanamycin, or capreomycin). 5. UDST: Universal Drug-Susceptibility Testing
  • 8. Public Health Action at Health Facility Level Mandatory action at Health Facility Level
  • 9. Mandatory action at community level