som Forum Guru
Topics: 59 Posts: 308
| | 09/09/06 - 01:15 PM  
 
   
 
|   #1 |
female health worker from south east asia has a PPD reading of 12mm, sputum negative. how do u read this value? does she need any prophylaxis or treatmnet?
|
| Naca Forum Newbie
Topics: 1 Posts: 26
| | 09/09/06 - 06:01 PM  
 
   
 
|   #2 |
Is she asympomatic? If she is then: It is positive PPD ( more then 10 cm of induration), and chest X ray is negative for TBC then she should be treated with INH alone.
|
| Naca Forum Newbie
Topics: 1 Posts: 26
| | 09/09/06 - 06:17 PM  
 
   
 
|   #3 |
And how old is she? What was previous PPD?
|
| study_ing Forum Fanatic

Topics: 180 Posts: 2,509
| | 09/09/06 - 06:29 PM  
 
   
 
|   #4 |
CXR first if alatent infection, 9 months of inh if active, inh, rifampin and ethambutol for 9 mths of course we r assumingthat the bug wasnt multidrug resistent int he given case
___________________ If you yourself are at peace, then there is at least some peace in the world.
|
| som Forum Guru
Topics: 59 Posts: 308
| | 09/09/06 - 08:03 PM  
 
   
 
|   #5 |
she is not asymptomatic, a 28 yr old female.
|
| sunny2 Forum Elite
Topics: 51 Posts: 385
| | 09/09/06 - 08:09 PM  
 
   
 
|   #6 |
INH + Vit.B6 for 9 months
|
| sheeezooo Forum Guru

Topics: 30 Posts: 343
| | 09/09/06 - 10:37 PM  
 
   
 
|   #7 |
agree with sunny2..pt with positive ppd with no evidence of active disease should receive 9 months therapy of INH and vit B6.
___________________ if u hold up your head with a smile on your face and are truely thankful,u are blessed because the majority can, but most do not..
|
| som Forum Guru
Topics: 59 Posts: 308
| | 09/10/06 - 06:18 AM  
 
   
 
|   #8 |
does the region of the pt has got anything to do with the treatment?
|
| Naca Forum Newbie
Topics: 1 Posts: 26
| | 09/10/06 - 09:40 AM  
 
   
 
|   #9 |
PPD should be done only in asymtomatic patients, Kaplan said.
|
| tolito Forum Fanatic
Topics: 119 Posts: 2,174
| | 09/10/06 - 08:53 PM  
 
   
 
|   #10 |
the region determines how the PPD is interpreted and that will have a bearing on what treatment is offered
___________________ It has been a looooong hard journey but I am inches away from my destination...
|
|
| |
| | | | | | | | | | |