TAILIEUCHUNG - Revised National Tuberculosis Control Programme -An Overview

The general approach to treatment is summarized in Figure 1. Because of the relatively high proportion of adult patients with tuberculosis caused by organisms that are resistant to isoniazid, four drugs are necessary in the initial phase for the 6-month regimen to be maximally effective. Thus, in most circumstances, the treatment regimen for all adults with previously untreated tuberculosis should consist of a 2-month initial phase of isoniazid (INH), rifampin (RIF), pyrazinamide (PZA), and ethambutol (EMB) (Table 2, Regimens 1–3). If (when) drug susceptibility test results are known and the organisms are fully susceptible, EMB need not be included. For children whose visual acuity cannot be monitored, EMB is usually not recommended. | Ulflw WJ w 2005-2012 Revised National Tuberculosis Control Programme -An Overview CentralTB Division Ministry of Health Family Welfare New Delhi DOTS su re Overview of the presentation Introduction The problem of TB-Indian Scenario Evolution of TB Control Programme in India RNTCP- Objectives structure and key activities Programme surveillance supervision monitoring Achievements of RNTCP Linkages with NRHM Challenges Future plans DOTS- sure cure forTB. Introduction TB is a disease caused by bacterium Airborne transmission - Any individual can be infected An individual infected with M. tb has only 10 life time risk to develop active TB disease - Co-infection with HIV or any immuno-deficient condition increases this risk More than 80 TB affects the lungs - About 50 are sputum smear positive and are infectious Any other organ of the body except hair and nails can be affected- Extra- Pulmonary TB The best way to control TB is early detection and cure of infectious pulmonary TB cases DOTS- sure cure .

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