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Kaplan Qbank USMLE



Author2 Posts
  #1

hi zaki, indians are pioneers in TB treatment just simply they have tonnes of cases! in INSTITUTE OF CHILDHEALTH, MADRAS where i was trained, we were told that short course chemotherapy is 6 months. and kaplan material for internal medicine tells that short course chemotherapy is for 9 months. these are my sources of info.let me know what do you think

___________________
vyseerx

  #2

hi, vyseerx, i didn't know about the short courses :P , but what i know when u use 4 drugs for 2 months and then 2 drugs for another 4 months ie INH, Rifampin, PZA and Ethambutol for the first 2 month, and when c/s reports come or after 2 months stop pza and eth and continue inh and rifampin for another 4 months is the current standard of treatment and specially in areas of MDR tb.

i don't find 9 month tx in kaplan, kaplan also mention 6 months of tx. you better check it out.
it do mention tx of 9 months with INH alone for latent TB i.e only MT +VE
and no active disease

for t.b menigitis 12months of tx
tb in pregnancy 9 months

weather india or pakistan both countries have lots of TB pt simply because of over crowding, poverty etc. treating many pt doesn't mean that we are poineer in that therapy because all that protocols are still coming from the countries where this disease is only present in immunocompromise pts. well we need to take advantage of these pt to do resarch on publish papers and invent new drugs.

take care

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Maverick







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