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    Dots Regimen For Tuberculosis Treatment

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    kuruvagadda sagar
    The document discusses categorization and treatment regimens under the Revised National Tuberculosis Control Programme (RNTCP). It outlines 4 categories of TB patients based on their condition and test results, and the corresponding recommended treatment regimens. Category 1 is for seriously ill new smear-positive or extra pulmonary patients, Category 2 is for relapse or treatment failure patients, and Category 3 is for new smear-negative patients who are not seriously ill. It also provides details on dosage adjustments based on patient weight, age, and HIV status.

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    Dots Regimen For Tuberculosis Treatment

    Uploaded by

    kuruvagadda sagar
    88 views16 pages
    The document discusses categorization and treatment regimens under the Revised National Tuberculosis Control Programme (RNTCP). It outlines 4 categories of TB patients based on their condition and test results, and the corresponding recommended treatment regimens. Category 1 is for seriously ill new smear-positive or extra pulmonary patients, Category 2 is for relapse or treatment failure patients, and Category 3 is for new smear-negative patients who are not seriously ill. It also provides details on dosage adjustments based on patient weight, age, and HIV status.

    Original Description:

    DOTS REGIMEN FOR TUBERCULOSIS TREATMENT

    Original Title

    DOTS REGIMEN FOR TUBERCULOSIS TREATMENT

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    The document discusses categorization and treatment regimens under the Revised National Tuberculosis Control Programme (RNTCP). It outlines 4 categories of TB patients based on their condition and test results, and the corresponding recommended treatment regimens. Category 1 is for seriously ill new smear-positive or extra pulmonary patients, Category 2 is for relapse or treatment failure patients, and Category 3 is for new smear-negative patients who are not seriously ill. It also provides details on dosage adjustments based on patient weight, age, and HIV status.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    88 views16 pages

    Dots Regimen For Tuberculosis Treatment

    Uploaded by

    kuruvagadda sagar
    The document discusses categorization and treatment regimens under the Revised National Tuberculosis Control Programme (RNTCP). It outlines 4 categories of TB patients based on their condition and test results, and the corresponding recommended treatment regimens. Category 1 is for seriously ill new smear-positive or extra pulmonary patients, Category 2 is for relapse or treatment failure patients, and Category 3 is for new smear-negative patients who are not seriously ill. It also provides details on dosage adjustments based on patient weight, age, and HIV status.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    CATEGORISATION

    AND TREATMENT REGIMENS


    UNDER RNTCP
     1.) The number before letter refers to the
    number of months of treatment .The
    subscript after the letters to the number of
    doses per week. The dosage strengths are as
    follows :
     H :ISONIAZID(600Mg).
     R:Rifampicin(450mg)
     Z(PYRAZINAMIDE(1500mg)
     E(ETHAMBUTOL(1200mg)
     S:(STREPTOMYCIN(750 mg)
    PYRAZINAMIDE(1500MG/KG)
     COLOUR OF THE BOX IS RED
     TREATMENT REGIMEN IS FOR 6 MONTHS
     INTENSIVE PHASE 2 MONTHS- TOTAL 24
    DOSES
     CONTINUATION PHASE NEXT 4 MONTHS-
    TOTAL 18 COMBI PACKS
    CATEGORY OT TYPE OF PATIENT REGIMEN
    TREATMENT
    CATEGORY 1 • New sputum 2H 3R 3Z 3E 3+4H
    smear-positive 3 R3
    seriously ill
    • New sputum
    smear negative
    • Seriously ill-
    new extra
    pulmonary
     COLOUR OF THE BOX IS BLUE
     TREATMENT REGIMEN IS FOR 8-9 MONTHS
     INTENSIVE PHASE 3 MONTHS- TOTAL 36
    DOSES
     CONTINUATION PHASE NEXT 5 MONTHS-
    TOTAL 22 COMBI PACKS
    Sputum smear-
    CATEGORY 2 positive relapse 2H 3R 3Z 3E 3S
    •Sputum smear
    positive failure 3+1H 3 R 3Z 3E

    3+5H 3 R E 3
    • Sputum smear
    positive treatment
    after default
    • Others…….
    New sputum
    smear – H 3R 3Z 3+4H 3
    CATEGORY 3 negative, not R3
    seriously ill
    • New extra
    pulmonary ,
    not seriously
    ill
    1.Patients who weight 60 kg or more receive
    additional Rifampicin (150 mg).

     Patients who are more than 50 years old


    receive streptomycin (500 mg).
     Patients who weight less than 30 kg receive
    drugs as per body weight.
     2.)Seriously ill also includes any patient ,
    pulmonary or extra pulmonary who is HIV
    positive and declares his/ her status to

     the categorizing/ treating medical officer


    (MO) for the purpose of categorizations , HIV
    testing should not be done .
     3.)In rare and expectional cases, patients
    who arte sputum smear negative or who have
    extra pulmonary disease can have relapse or
    failure .

     This diagnosis in all such cases should always


    be made by an MO and should be supported
    by culture .

     The patient should be catorised as”others”


    and given category II treatment.

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