Posted: March 30th, 2022
Tests to confirm the active TB diagnosis
Take detailed Complete patient history and examination and any information about recent travel. If there are signs and symptoms of TB, start treatment without waiting for culture results.
TB culture on samples: collect different respiratory samples, including a morning sample for TB microscopy and culture. This should begin before starting a treatment or within seven days of beginning treatment in severely ill people. Obtain other deep cough sputum samples; if that is impossible, use three gastric lavages or three sputum induction in children. Hospitalised patients may collect every 8 hrs. Send samples for TB culture from autopsy samples if pulmonary or laryngeal TB is suspected.
A chest X-ray is needed to evaluate a possible pattern association of pulmonary.TB may be found on any part, but the upper lobe is the most common.
In primary TB, the chest radiograph shows a pneumonia-like picture of the infiltrative process in the middle of lower regions.
CT scan of the chest help to better defines abnormalities in patients with vague abnormalities on chest radiography.
Nucleic acid amplification tests for M.tuberculosis complex include: the person has HIV, rapid information about mycobacterium species that would alter the persons care, the need for extensive contact tracing is being explored.
Blood cultures: using mycobacterium specific radioisotope labelled systems help to establish the diagnosis of active TB.
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