MDR - TB FACTS AND CONCERNS BY Dr.T.V.Rao MD

8/19/2019 MDR - TB FACTS AND CONCERNS BY Dr.T.V.Rao MD

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MDR - TBFACTS AND CONCERN

Dr.T.V.Rao MD

Dr.T.V.Rao MD


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TUBERCULOSIS IS A IMPORTANT COMMUNICABDISEASE, POVERTY AND POOR LIVING CONDIT

INCREASE THE SPREAD OF DISEASE


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DRUG RESISTANCE ACONCERN TO THE HUMA

RACE IN TUBERCULOSIS

Anti-TB

!"i#in!$ %'!!n ($!" )o"!#a"!$, anr!$i$tan#! to

t%! i$*i"!$+r!a".$train$ a r!$i$tant to

or or!


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RIFAMPICIN-RESISTANTTUBERCULOSIS RR-TB Ri)a+i#in-r!$i$

t('!r#(/o$i$ RR#a($!" ' TB 'at%at "o not r!$+ri)a+i#in, on! o$t !0!#ti&! a

!"i#in!$, r!(/on2!r tr!at!nor! !"i#atio+ati!nt$ *it%ri)a+i#in-$($#

"i$!a$!


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MULTIDRUG-RESISTANT TUBERCULOSIS (MDR-TBM!"#$r%-r&'#'"a""&r*!o'#' (MDR-

TB) #' a +or, o+

r#+a,#*#-r&'#'"a" TB "a"a' a$$#"#oa!r&'#'"a*& "o

#'o#a#$0 ao"&r


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E3TENSIVELY DRUG-RESISTANT TB 3DR-TB

E4t!n$i&!/ "r(2-r!$i$tant TB 3DRa )or o) (/ti"r(r!$i$tant t('!r#(t%at r!$+on"$ to !

)!*!r a&ai/a'/!!"i#in!$, in#/("t*o o$t !0!#ti&#/a$$!$ o) 5$!#onanti-TB !"i#in!$


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GLOBAL BURDEN IN 2

G/o'a//, 78 o) TB #a$!$*!r! !$tiat!" to %a&!%a" (/ti"r(2-r!$i$tantTB MDR-TB in 9:1;.

Dr(2 r!$i$tan#!$(r&!i//an#! "ata $%o*t%at an !$tiat!" ;


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4DR-TBE4t!n$i&!/"r(2-r!$i$taTB 3DR-TB'!!n r!+ort!' 1:7 #o(nin 9:1;. Ona&!ra2!, an!$tiat!" =o) +!o+/! *i

MDR-TB %a&-


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DETECTION OF MDR-TB5ATIENTS

I) a// noti?!" TB +ati!nt$@. i//ion %a" '!!nt!$t!" )or "r(2r!$i$tan#! in 9:1;, an!$tiat!" :: ::: #a$!$

o) MDR-TB *o(/" %a&!'!!n "!t!#t!".

In 9:1;, 19 :::+ati!nt$ *it% MDR-TB orri)a+i#in r!$i$tant

t('!r#(/o$i$ RR-TB


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DRUG SUSCEPTIBILITYTESTING

Mor& TB a"#&"' &r& r&or"&$ "o a&& "&'"&$ +or $r% r&'#'"a*& # 2"a # a7 o"&r 7&ar &+or&. 8or!$9:; o+ r&#o'!7 "r&a"&$ a"#&"' a

12; o+ & *a'&' &r& "&'"&$0 +ro1


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MDR-TB TREATMEN

A tota/ o) 11: :::+ati!nt$ *!r! !nro//!"on MDR-TB tr!at!nt in9:1;, an in#r!a$! o)1;8 #o+ar!" *it%

9:1. T%! ratio o)!nro//!" to noti?!"MDRRR-TB #a$!$ *a$=:8 2/o'a//, an" =:8in 17 %i2% MDR-TB

'(r"!n #o(ntri!$ a$ *!//


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TREATMENT OUTCOM On/ 7:8 o) t%! M+ati!nt$ in t%! 9:#o%ort o) "!t!#t!"*!r! $(##!$$)(//tr!at!". 1@8 "i!""i" not %a&! t%!irtr!at!nt o(t#o

"o#(!nt!" orint!rr(+t!" tr!atan" in 1:8 t%!tr!at!nt )ai/!". O9@8 o) 3DR-TB +atin t%! 9:19 #o%ort

$(##!$$)(/ o(t#otr!at!nt.


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TRENDSAn ana/$i$ o) tr!n"$)o#($in2 on t%! !ar$9::


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FIVE 5RIORIT= ACTIO TO ADDRESS THE

GLOBAL MDR

CRISIS


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8HAT 8HO THIN>S ABOUT MDR ?TB

T%! HO %a$ r!#!nt/r!+ort!" t%at t%!r! i$)ai/(r! to +r!&!nt t%!o) (/ti"r(2-r!$i$tantt('!r#(/o$i$ MDR-TBa0!#t$ an !$tiat!" ti//ion +!o+/! not r!#

tr!at!nt "(! to /i&in"i$tant r(ra/ ar!a$ in"!&!/o+in2 nation$. Inor! t%an =7 +!r#!ntt('!r#(/o$i$ "!at%$ o+oor #o(ntri!$, an" it$!#on" 2r!at!$t i//!r

*or/"*i"! a)t!r HIVA


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PRIORITY ONEPREVENT MDR-TB AS A FIRST PRIO

5REVENT THEDEVELO5MENT OFDRUG RESISTANCE

THROUGH HIGH@UALIT= TREATMENT OFDRUG-

SUSCE5TIBLE TB


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PRIORITY TOSCALE UP RAPID TESTING AND DETECTI

OF ALL MDRRR-TB CASES

E45AND RA TESTING ANDETECTION

DRUG-RESISTANT CASES


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5RIORIT= THREE5ROVIDE IMMEDIATE ACCESS TO

EFFECTIVE TREATMENT AND 5RO5ER E'r& ro,"a**&'' "oaror#a"& MDR-

TB *ar&0 #*!$#%a$&a"& '!#&'o+ a!#"7 $r%'a$ '*a!&$-

*o"r7 *aa*#"7


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PRIORITY FOUR5REVENT TRANSMISSION THROU

INFECTION CONTROLI,!&,&" aro TB #+&*"#o *o",&a'r&' a$ &ro! $#a%o'&$

a"#&"' o &&*"r&a",&" "o ,#"& r#' o+ $#'&a'"ra',#''#o


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BEST 8A= TO 5REVENT STO5 S5READING


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PRIORITY FIVEINCREASE POLITICAL COMMITME

ITH FINANCINGU$&r# a$ ''"a# "&MDR-TB r&'o'& "ro%#%-!&&! o!#"#*a!*o,,#",&"0 '"ro%!&a$&r'# a*ro'' ,!"#!&

%o&r,&"a! '&*"or'0&&r-roa$&#%ar"&r'#'0 a$a$&a"& a*#% +or*ar& a$ r&'&ar*.


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THIN> TB0 5REVENT TB0 DIAGNO TREAT TB ELIMINATE TB


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PREVENTION AND EDUCATION OTUBERCULOSIS IS EVERYBODYS

BUSINESS

Ao"&r $a7 o+ A*a$&,#*#"&ra*"#o a" SDUMC >OLARCELEBRATING TUBERCULOSISU$a"& a$ +&!#*#"a"#% Dr A!!a$#Moa +ro, SVIMS TIRU5ATHIAND EMINENT

DOCTOR0SCIENTIST AN AUTHOURAND EDITOR OF CHEST A a"oro+ %r&a"&r "&" oo o T&r*!o'#' '&& a!o% #"HOD o+ M&$#*#& Dr 5raaar+ro, SDUMC >o!ar r#%#% ,a7

!&ar&$ o "o 'ar& #&'


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FELICITATING A PERSON ITH GREAT MISTO EDUCATE AND PREVENT TUBERCULOSDR. ALLADI MOHAN A DOYEN IN MEDICI

AT SDUMC OLAR ARNATAA


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LET US BE UNITED TO CREATE HO TO MAN= LIVING 8ITH TUBERCUL


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ATTENTION OF VIEER I a t%an)(/ to an in t%! *or/" *%o a"! ! to a#%i!&! "!$ir!" 2oa/$ )t%o(2%t, %a&in2 -7 i//ion %!a/t% +ro)!$$iona/$ $%ar! an" (ti/iJ! no*/!"

'!n!?t o) anin", To"a I *i$% to '! )r!!/an#!r to t%! *or/" to #r!at! int!r!$C/ini#a/ an" Dia2no$ti# Mi#ro'io/o2 *it% or! !+%a$i$ on In)!#tio($ "i$!a$!a$$o#iat!" In)!#tion *i$% to '! o(r +artn!r in !"(#atin2 an i//ion$ *%o ni+ortan#! o) In)!#tio($ "i$!a$!$

Yo( #an &i$it an *!' $it!$ o) in!

***.!"i#ro'!$.#o

***.$/i"!%$ar!.#o

***.a(t%o(r$tr!a.#o

***,$#ri'".#o

B! a )ri!n" on Fa#!'oo *it% t(a/a+a//i &!nat!$*ararao a##!$$

RaoK$ Mi#ro'io/o2

RaoK$ In)!#tion #ar!

Mi#ro'io/o2 #onn!#t!" Tra&an#or! M!"i#a/ Co//!2!

For an a$$i$tan#! on INFECTION REALTED ISSUES CONTACT ME AT "o#tort&rao2ai/.#

Mo' =1 >9:;1117;Dr.T.V.Rao MD

http://www.medmicrobes.com/http://www.slidehsare.com/http://www.authourstream.com/mailto:[email protected]:[email protected]://www.authourstream.com/http://www.slidehsare.com/http://www.medmicrobes.com/


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Pro2ra Cr!at!" ' Dr.T.V.Rao M

B!n!?t o) M!"i#a/ an" Para!"Pro)!$$iona/$ in t%! D!&!/o+in2 Cr!at!" )ro or/" i"! R!$o(

Eai/

"o#tort&rao2ai/.#o

Dr.T.V.Rao MD

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MDR - TB FACTS AND CONCERNS BY Dr.T.V.Rao MD