Treatment Plan
Treatment Plan
- If investigations suggest TB = admit or refer urgently, depending on the clinical situation
- Primary care treatment is mainly supportive
- Active medical treatment needs secondary care input
Latent TB:
- 3 months: isoniazid + pyridoxine + rifampicin
- Or 6 months: isoniazid + pyridoxine
Active TB:
- 6 months: isoniazid + pyridoxine + rifampicin
- First 2 months add: pyrazinamide + ethambutol
- CNS involvement: 2-4 weeks adjunct dexamethasone
Drug-resistant TB:
- Multi-drug resistant: 18-24 months of treatment
- Extensively drug-resistant: as above + includes fluoroquinolone