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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Positive Test For Multi-drug Resistant TB?

hello doctor, i am a TB patient, susceptibility testing report showed my TB was Multi-drug resistant (sputum was collected before treatment, and result came out after 2months of treatment started) , but my doc said first line/primary TB drugs were take effect on me accounding to my chest X-ray, and after 9 months treatment, my AFB culture was negative, and x-ray showed opacities was stable. is it possible that MDR report was wrong? thanks.
Fri, 11 Aug 2017
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Possibility of false MDR report is very less.
So better to rule out MDR TB first.
So get done Sputum for genexpert. This is newer, faster and more accurate test.
It shows rifampicin resistance if it is present.
Report of genexpert comes within 24 hours.
If Genexpert is negative then no need to worry for MDR TB.
But if Genexpert is positive, you should start second line treatment for MDR TB.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Is The Reason For Positive Test For Multi-drug Resistant TB?

Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of false MDR report is very less. So better to rule out MDR TB first. So get done Sputum for genexpert. This is newer, faster and more accurate test. It shows rifampicin resistance if it is present. Report of genexpert comes within 24 hours. If Genexpert is negative then no need to worry for MDR TB. But if Genexpert is positive, you should start second line treatment for MDR TB. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.