The TB Test Results Are Still Positive Even Though They Have Been Treated For 2 Months?
Hello, I am undergoing TB treatment for almost 2 months, yesterday I checked sputum and the results were still positive. Even though I regularly take medication and according to the doctor’s instructions. But now I am being given an advanced phase of medicine. Why is that? Then the incentive phase was declared a failure or what?
Hello Iga, Thank you for the question.
Someone who has tuberculosis (TBC) will be treated with drugs-antituberculosis (OAT). The OAT that is given is usually a combination of the drugs isoniazid, rifampicin, ethambutol, and pyrazinamide. The duration of treatment depends on the type of case, whether new cases, treatment failure cases, treatment dropouts, relapse cases, resistant cases. In patients with new cases, the recommended length of treatment is 6 months consisting of 2 months of intensive phase (with drugs isoniazid, rifampicin, ethambutol, and pyrazinamid) and 4 months of follow-up phase (with drugs isoniazid and rifampicin). After completing the intensive phase, generally the patient will return to undergo a sputum examination to assess whether the OAT can work to treat TB. If the results of the sputum test are still positive, the doctor will usually do a sputum culture examination, which is to grow the bacteria in the sputum in the laboratory to find out whether the bacteria is resistant / resistant to the drugs you are taking. This sputum examination will take some time to get the results so that usually the patient will continue the advanced phase of treatment while waiting for the results of this examination. Please consult with your pulmonary specialist and discuss with your doctor the next steps. Do not give up taking drugs and always take medication according to doctor's recommendations.
Avoid throwing phlegm carelessly and always cover your mouth when coughing to prevent transmission to other people. Don't forget to always keep your hands clean.
I hope this helps.