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