Treatment Regimen for Drug Resistant Tuberculosis

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[@manishasaini5837]

Nice explanation ma'am..very useful.

[@shyambabusharma9931]

❤very nice and informative.

[@dr.sangitasmedicalclasses5285]

Happy you liked it

[@drkpk384]

madam share it on social media .you will get lot of subscribers and ur channel wil be promoted quicky

[@yadagirimbbs1]

Well explained. Thank you🙏 madam😊

[@dr.sangitasmedicalclasses5285]

Glad you liked it

[@drkpk384]

nice explanation thx

[@dr.sangitasmedicalclasses5285]

Happy you liked it

[@vijaykumars2328]

Thanks you ma'am . It is very informative and simplified.

[@dr.sangitasmedicalclasses5285]

Thank you for appreciating!

[@mohammadakmalkhan2928]

​@@dr.sangitasmedicalclasses5285 mam please explain Xdr tb treatment

[@mizoobserver5170]

Madam, what do you suggest for MDR Shorter regimen or longer regimen considering all side effects and efficacy of treatment

[@drkpk384]

thx madam

[@kamalmukhopadhyay4498]

Maa 1 and half years my lung tb drug complitebut suddenly i am coughing my xray normal afb negative what can i do can i take hr city scan thorax

[@Vishn78]

dr used HRELfx in my ATT

[@DrThritia]

Very nicely explained 👌🏻👌🏻.In shorter MDR regimen Bedaquiline is also included for 6months (IP phase)(not written in one slide)

[@dr.sangitasmedicalclasses5285]

Thank you

[@nasirhayat4793]

Thanks

[@dr.sangitasmedicalclasses5285]

Thank you

[@HealthSurving]

thank you mam for wonderfull session

[@dr.sangitasmedicalclasses5285]

M happy you liked it.thank you

[@dr.sangitasmedicalclasses5285]

M happy you liked it.thank you

[@asleshapadhy3298]

Thank you mam. Very good lecture

[@dr.sangitasmedicalclasses5285]

Thank you

[@drkpk384]

yes

[@drkpk384]

yes

[@MedicinePearl]

Very helpful

[@dr.sangitasmedicalclasses5285]

Glad you liked it

[@medicosstudio9545]

Good explain boss✨

[@dr.sangitasmedicalclasses5285]

Thank you so much

[@sontoshpashman5044]

Samajh nahi paya par aapke muh se sunne mein achaa laga

[@dr.sangitasmedicalclasses5285]

Mein koushish karungi hindi mein class lene ke liye.

[@drmaifoaud5215]

Amazing lecture very brief & on point thank u

[@dr.sangitasmedicalclasses5285]

Glad that you liked it

[@drkpk384]

@@dr.sangitasmedicalclasses5285 thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers beautifull

[@varungupta7127]

Drugs are now categorized asGroup ABC

[@shubhammishr746]

Mam according to wt band it differs in MDR cases please tell how many tablets someone should be given with mg in MDR cases

[@dr.sangitasmedicalclasses5285]

In MDR its not fixed dose combination, so weight band is not applicable for this, but the dosing is done according to the patient's weight.

[@drkpk384]

kindly give some short and long cases for fcps part 2 exam post graduate exam thanks learnt a lot from your lectures continue it God bless you

[@dr.sangitasmedicalclasses5285]

I will.Thank you

[@drkpk384]

@@dr.sangitasmedicalclasses5285 thx

[@drkpk384]

@@dr.sangitasmedicalclasses5285 thx beautiful explan

[@drkpk384]

@@dr.sangitasmedicalclasses5285 thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers.....salam beautiful madam

[@emilinecelest5278]

Mam may I know from which book or website you are referring for this video? I need to know for my project so pls reply 😊

[@dr.sangitasmedicalclasses5285]

These are from national guidelines, NTEP/RNTCP

[@drkpk384]

salam sweet medam great teacher

[@dr.sangitasmedicalclasses5285]

Happy you liked it

[@drkpk384]

@@dr.sangitasmedicalclasses5285 GOD bless you swet madm

[@user-rg1dt7ez1q]

Madam is drug resistant tb curable? My brother is suffering from it😭i am very depressed as he is diagnosed with DR tb just now😭😭😭😭😭😭

[@dr.surbhigotecha6570]

Mam 1 year before previously treated tb person...taken akt only 3 month....now after 1 year sputum AFB is negative..now xay is dine

[@dr.sangitasmedicalclasses5285]

Ok..what you want to know from me?

[@mkshorts_75p]

Hello mam , jaise Aaj dawai 4 bje khaya hai to kya kal bhi Same time 4 bje hi khana padega ??ek do ghanta upar neeche nhi kar sakte????

[@dr.sangitasmedicalclasses5285]

please share your worries with your consulting doctor.

[@rajnisingh526]

Ma'am please reply -(semi quantification)-low Rifampicin susceptibility - resistance detected ( means mujhe kon sa tb hua hai ) please reply ma'am I am waiting your reply

[@dr.sangitasmedicalclasses5285]

Thank you for watching, if resistance detected against Rifampicin then it will be Rifampicini resistant TB.

[@calvinkelvin4877]

We'll explained ❤

[@dr.sangitasmedicalclasses5285]

Thank you

[@drkpk384]

@@dr.sangitasmedicalclasses5285 thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers

[@durgeshtiwari3461]

Hello mam plz rply M/63 h/o DM-2 diagnosed with MDR-TB (CAVITORY LUNG LESION) After starting the ATK upto how many patient is able to spread or infect others.?

[@dr.sangitasmedicalclasses5285]

After starting ATT precaution to be taken for at least 3 wks. Usually upto 3 wks patient may spread the disease.

[@mohammadakmalkhan2928]

Mam can you explain how Xdr tb will be treated and what kind of guidance is given by government

[@dr.sangitasmedicalclasses5285]

Already been mentioned

[@user-nw5ml5ob9h]

Hello Ma'am..i was under treatment for chest tb for almost 9 months and was improving with my chest tb but suddenly i got a lymph node on chest while ongoing treatment. The biopsy was done and the result shows the presence of mycobacterium tb in lymph node but the resistance to rifampicin was indeterminate. Doctor asked me to continue with the same medicine i.e. prescribed me Akurit-3. Should i continue with the same..?

[@dr.sangitasmedicalclasses5285]

Thank you for your query but my channel is solely for academics not for clinical consultation.plz talk to your physician

[@acerR13]

How are you brother?

[@lalsingh8424]

If CBNAAT positive, smear nagtive 3rd time TB Occur then what types of medicine used to treatment

[@dr.sangitasmedicalclasses5285]

If CBNAAT shows sensitivity for Rifampicin then initially 1st line ATTs can be started.

[@user-lt4vy2cy3j]

how can we use ethambutol and pyrazinamide in poly DR TB mam? 4:48

[@dr.sangitasmedicalclasses5285]

Did not get your query

[@harishlakshya3459]

Hello ma'am If patient haven't dst or lpa and on mdr short treatment 3 month complete Can be do lpa test in 4 month if cbnaat showing rifampicin resistance MTB detected

[@dr.sangitasmedicalclasses5285]

M little confused with your query.Can you plz ask again what exactly you want to know?

[@harishlakshya3459]

@@dr.sangitasmedicalclasses5285 patient on shorter mdr regimen and and 3 month complete treatment In the first month or initial treatment no lpa or dst done Can we do it LPA test in 4 month

[@AbhishekRaj-vf5db]

Mam amazing class but….. can we get the pdf used in this video

[@dr.sangitasmedicalclasses5285]

Sure I will upload

[@parthiban5432]

Hello mam, in tb relapse treatment , which drugs we need to give for the drug sensitivity patient and how long we need to give treatment ?

[@dr.sangitasmedicalclasses5285]

The treatment regimen for drug sensitive relapse cases remains same, no difference.

[@dr.sangitasmedicalclasses5285]

And thank you for watching

[@thansibn3619]

So ma'am if smear negative tb how will we test for dst ...and what if the pt already treated for tb ...i mean there is chances for resistance but due to negative smear and culture how can they do dst

[@dr.sangitasmedicalclasses5285]

Thank you for watching. Smear is not 100 % sensitive, so if smear is negative then we need to go ahead with culture and while doing the culture DST can be done, LPA/CBNAAT can be done if resources are available.

[@harishlakshya3459]

Same is here My treatment is going on bt till now my DST has not done and not any lpa report also Rif resistance How do I know resistance with other drugs also

[@harishlakshya3459]

Or it can be done DST or lpa report after taking medicine two months

[@rockstarchannel1679]

Mam aap Lpa Line Probe Assay ke bare me bata sakti hain please...ya apse baat ho skti hai kya...main appointment book krna chahta hu... please

[@dr.sangitasmedicalclasses5285]

My cahnnel is solely for academics, not for consultation

[@drkpk384]

leart a lot from it but madam plz prepare short case long case presentation of various common disease if you r pulmonologist do it on tb bronchiectasis ild asthma copd etc plural effusion cliical appoach i.e history and examination finding presenatation

[@dr.sangitasmedicalclasses5285]

Ok will try to upload classes as you asked

[@drkpk384]

@@dr.sangitasmedicalclasses5285 sample format of short case long case mam exampes

[@heemaaljaglan3058]

Is there complete eradication of RR tb ma'am ??? I am suffering from that

[@dr.sangitasmedicalclasses5285]

No

[@chessgold8768]

Is there any regimen for XDR-TB? Anyone help me on this doubt..

[@mohammadakmalkhan2928]

Same thing I also want to know

[@SatyaRanjanBiswal45]

Yes we have, you can search Longer MDR TB regime

[@dr.sangitasmedicalclasses5285]

Will upload

[@roy_khushi7505]

Mam as my treatment started for lympnode tb with all the four standard medicine of tb that is Rifampicin Isoniazid Pyrazinamide Ethambutol But after taking it for 10 days , I witnessed continuous fever with vomiting and my liver enzyme got increased after that doctor stopped the ATT on 10th day and given some medicine for liver and all tb medicine slowly one by one with lft enzyme test after every 3 days...I tolerated all medicine except rifampicin because after taking rifampicin within 2 hours my eyes became red and lips swollen with fever of 102 F after that my doctor stopped rifampicin and started levofloxcin with other 3 medicine ( isoniazid ,ethambutol, pyrazinamide,rifampicin ) 9 months Now I am taking it it's been 10 days . Now my question is this a right treatment for tb ? Can I cure it without rifampicin. Plz answer

[@dr.sangitasmedicalclasses5285]

This channel is only for academics.I dont do consultation here.hope you understand

[@priysenkumar8339]

how is your health now The same is happening with me.

[@roy_khushi7505]

@@priysenkumar8339 I am good now.. And if same happening with you also then please don't worry about it... And never try to Google anything related to it , never ever... Just relax and beleive in the treatment... ☺️☺️☺️☺️☺️

[@SelvaKumar-fv3qz]

Now u will cure ra?

[@drkpk384]

and are these same for pakistan . im from kpk

[@dr.sangitasmedicalclasses5285]

I have no idea

[@drkpk384]

@@dr.sangitasmedicalclasses5285 madam salam do few videos about short case long case presentation of fcps part 2 medicine ,thanks for this beautiful shorter video on drug restant tb

[@sarrrrrrr26]

Mam Is the Dosage suitable for MDR- 1. Levofloxacin-1000mg, 2. Ethionamide- 750mg, 3.Ethambutol-1200mg,4.Bedaquiline-200mg,5.Pyrodazinamine-1700 mg, 6.Clofazinamine-100 mg, Isonoziod- 900 mg and Pyriodoxine-100mg and Oxicip

[@dr.sangitasmedicalclasses5285]

Please go through the lecture.

[@mrphysicianlatestmail5440]

Mam Should we follow rntcp or who regimen?

[@dr.sangitasmedicalclasses5285]

Depends on your place of work 😊

[@mrphysicianlatestmail5440]

@@dr.sangitasmedicalclasses5285 okk mam thanks 🤗

[@imthiyazsyed9090]

Madam bpal regimen?

[@dr.sangitasmedicalclasses5285]

Bpal? Please elaborate

[@imthiyazsyed9090]

bedaquiline, pretomanid and linezolid. three-antibiotic combination

[@sunitarani4226]

Mam your video is very informative. My son detected rif resistance in CBNAAT, but LPA SHOWING NO RESISTANCE AND AGAIN DOING CBNAAT THERE IS NO RIF RESISTANCE WHAT TYPE OF TB HE HAS PL SUGGEST IS IT POSSIBLE THAT CBNAAT CAN GIVE FALSE RESULTS

[@dr.sangitasmedicalclasses5285]

Unlikely

[@sunitarani4226]

@@dr.sangitasmedicalclasses5285 Pl explain mam I could not understand whether he has mdr tb or normal tb. Aur uska konsa treatment /regimen chalna chahiye Pl help I am too much confused.

[@Jerm133]

Maam please🙏😢

[@dr.sangitasmedicalclasses5285]

?

[@Jerm133]

@@dr.sangitasmedicalclasses5285 Maam MDR is completely curable or not. Can it relapse again in future after completely cured?

[@nidashakir97]

Yrr normal hindi bhi bol sakti ho aap zaroori nahi yaha sabko English ate

[@dr.sangitasmedicalclasses5285]

Ye bhi jaroori nahi ke mere saare subscriber ko hindi aate ho

[@nidashakir97]

@@dr.sangitasmedicalclasses5285 hindi aajke zamane me sabko ati hai

[@threetimesknowledge6283]

It always better , upload new videos if there is new guidelines otherwise you loose all trusth bc whatever you teach is wrong and irrelevant

[@dr.sangitasmedicalclasses5285]

Yes thats a very logical suggestion

[@pankajsharma-bx6jc]

Mam I have lympnodes tuberculosis and lungs tuberculosis (EPTB+PTB) .. firstly I have treated from private on Feb-22 and after biopsy, sputum , chest xray pa view, and montux Test doctor started AKT-4 medicine(Rifampicin,isoniazid,pyrazinamide,ethambutol) after using thise medicine mine fever is go out and I am feeling good afer approx two month on dated 12th April 22 suddenly blood comes from mine lungs then I have informed to our doctor he suggest for gene xpert , after doing the genxpert test , Rifampicin resistance detected and doctor refered me at the NITRD meharauli tb centre after that doctor do the the test for lpa 1 and lpa 2 for sputum and FNAC ,afer 15 days I got the report in sputum lpa 1 report Rifampicin and isozanide both are resistance and lpa is intermidante and FNAC report is smear negative and started for the culture of the smear negative...all report I have shown to the dr he suggest again for the lpa 2 but mine suptum is not coming ..so doctor started mdr tb treatment ( Bedaquiline+levofloxacin 1000 mg+ linezolid 600mg+clofazimine 100 mg+ cycloserine 750 mg)..so after that when I go to collect the culture report of mine lymphnodes it's shows Rifampicin resistance, isozanide resistance, Levofloxacin resistant,oxifloxacin resistant,moxifloxacin resitant, FQ- moxi high level and 2nd line injection KM, Ak and CAP is susceptible , now mine doctor stop the levofloxacine and will start the delaminde if available or amikacin 750 + ethaionamide 750 Mam so mine dout is the medicine I have use bedaquiline 2 month was effective or not because mine levofloxacine was resistant Please reply me mam...your reply is give me lot of confidence...I have got married in 2019 ...I love mine wife alot...will I cure from this disease mam and lastly confirm mam is it pre xdr tb or xdr tb ..please reply mam...this is mine story... please reply 😊😊😊...I am waiting for your reply mam 😊😊🙏🙏🙏🙏

[@dr.sangitasmedicalclasses5285]

Thank you for asking, but my channel is only for academic purpose, for consultation you please consult you local physician.

[@Lover9420]

Bro same condition please reply. R u ok now?

[@Lover9420]

Hy bro what happen?

[@alive4u344]

Mera bhi same condition hai bhai

[@alive4u344]

@@Lover9420 same bhai

[@yaushvarafaqat5904]

Hi Doctor can i have your email I very confused because my doctor gave me alot of medicine for tb mdr in lymph but i got check up from another specialist he reduce my medication. He said your lungs xray is ok you dont need much so i was looking some help for mental satisfaction please help me i can share my perception

[@dr.sangitasmedicalclasses5285]

I understand your worry but my channel is only for academics not for consultation.

[@Jerm133]

Hello, how did you took up the treatment, did you follow the previous one or the later one? I am also diagnosed in mdr lymph and wanting to do the same as you.