World Health Organization : Year 1997 ; World Health Organization, Tuberculosis 96.200 (Sea): TB a Clinical Manual for South East Asia

By Anthony Harries

Book Id: WPLBN0000149006
Format Type: PDF eBook:
File Size: 1.0 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1997 ; World Health Organization, Tuberculosis 96.200 (Sea): TB a Clinical Manual for South East Asia
Author:	Anthony Harries
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Harries, B. A. (n.d.). World Health Organization : Year 1997 ; World Health Organization, Tuberculosis 96.200 (Sea). Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
FOREWORD Doctors and other health professionals working in most countries will be only too aware of the many patients they encounter with tuberculosis. This excellent book is designed for the busy clinician. It concentrates particularly on the clinical problems of diagnosis and management of tuberculosis, both in adults and children. It provides a most useful review to those new to the problems and a handy reference for the experienced clinician when faced with some particular difficulty. It is well set out and easy to use.

Table of Contents
CONTENTS Foreword by Sir John Crofton . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Ch.1. Background information on tuberculosis . . . . . . . . . . . . . . . 19 1.1 Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 1.1.1 Basic facts about TB (M. tuberculosis, transmission, risk of progression to disease, natural history of untreated TB, epidemiology). . . . . . . . . . . . . . . . . . . . 19 1.1.2 Pathogenesis of TB . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Ch.2. Diagnosis of tuberculosis in adults . . . . . . . . . . . . . . . . . . . 25 2.1 Pulmonary TB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.1.1 Diagnostic approach. . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.1.2 Clinical features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2.1.3 Diagnostic sputum smear microscopy . . . . . . . . . . . . . . . 26 2.1.4 Differential diagnosis of pulmonary TB . . . . . . . . . . . . . . 29 2.1.5 Chest X-rays in diagnosis. . . . . . . . . . . . . . . . . . . . . . . . 30 2.1.6 Patterns of disease in pulmonary TB . . . . . . . . . . . . . . . . 31 2.1.7 Differential diagnosis of chest X-ray findings . . . . . . . . . . 31 2.2 Extrapulmonary TB . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 2.2.1 Diagnostic approach. . . . . . . . . . . . . . . . . . . . . . . . . . . 33 2.2.2 TB lymphadenopathy . . . . . . . . . . . . . . . . . . . . . . . . . . 33 2.2.3 Miliary TB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 2.2.4 TB serous effusions (pleural, pericardial, ascites). . . . . . . . 35 2.2.5 TB meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 2.2.6 Other forms of extrapulmonary TB . . . . . . . . . . . . . . . . . 43 2.2.7 Further information on spinal, gastrointestinal and hepatic TB. 44 Ch.3. Diagnosis of tuberculosis in children . . . . . . . . . . . . . . . . . . 45 3.1 How does TB in children differ from TB in adults? . . . . . . 45 3.2 Approach to diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . 46 T B : A C L I N I C A L M A N U A L F O R S O U T H E A S T A S I A 4 3.3 Score system for the diagnosis of TB in children . . . . . . . . 47 3.4 Treatment trial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 3.5 Tuberculin skin test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 3.6 Management of child contacts of infectious adults. . . . . . . 50 Ch.4. Standardised TB case definitions and treatment categories . . 53 4.1 Standardised case definitions. . . . . . . . . . . . . . . . . . . . . 53 4.1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 4.1.2 Questions and answers about case definitions . . . . . . . . . 53 4.1.3 Case definitions by site and result of sputum smear. . . . . . 54 4.1.4 Case definitions by previous treatment . . . . . . . . . . . . . . 55 4.2 Standardised treatment categories . . . . . . . . . . . . . . . . . 56 Ch.5. Treatment of TB patients . . . . . . . . . . . . . . . . . . . . . . . . . . 57 5.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 5.2 Mode of action of anti-TB drugs . . . . . . . . . . . . . . . . . . . 58 5.3 TB treatment regimens . . . . . . . . . . . . . . . . . . . . . . . . . . 59 5.3.1 New cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 5.3.2 Retreatment cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 5.3.3 Standard code for TB treatment regimens . . . . . . . . . . . . 60 5.3.4 Recommended treatment regimens . . . . . . . . . . . . . . . . . 61 5.3.5 Use of streptomycin and thiac