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Multidrug-Resistant Tuberculosis

Reviewed 06/2019
 


BASICS

DESCRIPTION

DIAGNOSIS

HISTORY

  • Sexual history

  • Prior positive purified protein derivative (PPD) test, TB treatment, TB exposure, travel to an area where TB is endemic, homelessness, or incarceration

  • Dyspnea

  • Chest pain

  • H...

TREATMENT

GENERAL MEASURES

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow the patient 2 years after completing treatment.

  • Close contacts may need prophylaxis as per infectious disease recommendations.

DIET

Adequate...

REFERENCES

1
Centers for Disease Control and Prevention, Division of Tuberculosis Elimination Laboratory Branch. Laboratory user guide for U.S. public health laboratories: molecular detection of drug r...

ADDITIONAL READING

World Health Organization. WHO global tuberculosis report 2018. http://www.who.int/tb/publications/global_report/en/. Accessed January 19, 2019. http://www.who.int/tb/publications/g...

CODES

ICD10

A15.8 Other respiratory tuberculosis 

ICD9

012.80 Other specified respiratory tuberculosis, unspecified examination 

SNOMED

423092005 Multidrug resistant tuberculosis 

CLINICAL PEARLS

  • Consider TB/MDR-TB for any patient presenting with an infectious lung process, particularly with hemoptysis.

  • Start empiric therapy prior to sputum culture results if TB is suspected.

  • Fiv...

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