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Got Positive Result For Sputum Pul Kochs. What Is The Treatment?

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Posted on Fri, 15 Nov 2013
Twitter Fri, 15 Nov 2013 Answered on
Twitter Tue, 3 Dec 2013 Last reviewed on
Question : treatment for sputum positive pul Koch's age 40 at 57 kg female
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Answered by Dr. Shashi Dangwal (10 hours later)
Brief Answer: Treatment is with ATT. Detailed Answer: Hello XXXXXXX Sputum positive pul kochs falls in Cat I of WHO classification of TB(Kochs). Treatment is with Anti Tubercular Treatment(ATT). For the first 2 months, 4 drugs named INH, rifampicin, ethambutol and pyrazinamide are given. If required, this phase is extended by 1 more months. By this time sputum generally turns negative and patient is started on maintainence phase where only two drugs ie INH and rifampicin are continued for another 4 months. Total duration of treatment is 6 months. Drugs have to be taken regularly in the morning on empty stomach and nothing is to be taken by mouth for next 1/2 hour for better absorption of drugs. Patient`s progress should be monitored regularly by examining him, sputum test and x ray chest.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

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Got Positive Result For Sputum Pul Kochs. What Is The Treatment?

Brief Answer: Treatment is with ATT. Detailed Answer: Hello XXXXXXX Sputum positive pul kochs falls in Cat I of WHO classification of TB(Kochs). Treatment is with Anti Tubercular Treatment(ATT). For the first 2 months, 4 drugs named INH, rifampicin, ethambutol and pyrazinamide are given. If required, this phase is extended by 1 more months. By this time sputum generally turns negative and patient is started on maintainence phase where only two drugs ie INH and rifampicin are continued for another 4 months. Total duration of treatment is 6 months. Drugs have to be taken regularly in the morning on empty stomach and nothing is to be taken by mouth for next 1/2 hour for better absorption of drugs. Patient`s progress should be monitored regularly by examining him, sputum test and x ray chest.