TB prevention

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Pediatrics Forum

TB prevention

Author

4 Posts

nadiabarati

08/25/06 - 10:38 AM

in children who expose to untreated adults or drug-resistant patients.....> BCG vaccination

My question is: Don't we need to give them INH as well or just vaccine is enough???

juanma0
Forum Senior

Topics: 10
Posts: 146

08/26/06 - 12:28 PM

Ok nadiabarati, this is my understanding:

1. No matter if u place BCG or not, if PPD over 10mm give INH (for these increased risk patients, 15mm for no risk normal people).

2. U place BCG to prevent most fatal cases of TB, not to prevent TB itself.

So the anwser to what u ask, is place PPD and if it is positive get CXR (to rule out active TB) and start INH. If PPD neg and CXR neg why start INH?

study_ing
Forum Fanatic
avatar

Topics: 180
Posts: 2,511

08/26/06 - 01:50 PM

BCG is only useful in preventing maningitis and to some extent miliary TB in kids...it has no significant role in preventing the overall disease. its mainly used for Dx

___________________
If you yourself are at peace, then there is at least some peace in the world.

nadiabarati

08/26/06 - 06:11 PM

but kaplan pediatric says what I posted!!

You don't have permission to post.