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Tuberculosis (TB) is a contagious bacterial infection that primarily affects the lungs.
TB is transmitted through the air when an infected person coughs, sneezes, or speaks, releasing tiny droplets containing the bacteria. Factors that increase the risk of contracting TB include close contact with an infected individual, living in crowded or poorly ventilated environments, weakened immune system (such as HIV/AIDS or certain medications), malnutrition, and smoking.
Types of TB.
There are two primary forms of TB: latent TB infection and active TB disease. Latent TB infection occurs when the bacteria are present in the body but are kept in check by the immune system, causing no symptoms. Active TB disease occurs when the immune system fails to control the bacteria, resulting in symptoms and the potential for transmission to others.
Symptoms.
TB primarily affects the lungs, but it can also impact other parts of the body, such as the kidneys, spine, and brain. Common symptoms of active TB disease include persistent coughing (sometimes with blood), chest pain, fatigue, unintentional weight loss, fever, night sweats, and loss of appetite. Symptoms may be mild and develop gradually, leading to delayed diagnosis.
Diagnosis.
If TB is suspected, a healthcare professional will conduct a thorough evaluation. This may include a physical examination, review of medical history, chest X-ray, and sputum analysis. Sputum analysis involves examining a sample of mucus produced during coughing to identify the presence of TB bacteria. In some cases, additional tests such as a CT scan or a biopsy may be necessary for a definitive diagnosis.
Treatment.
TB is a treatable disease. The primary treatment for active TB disease involves a combination of antibiotics prescribed by a healthcare professional. The most commonly used medications include isoniazid, rifampin, ethambutol, and pyrazinamide. The treatment course typically lasts for several months to ensure complete eradication of the bacteria. It is essential to follow the prescribed treatment regimen diligently to prevent the development of drug-resistant strains of TB.
Prevention and Lifestyle Changes
Preventing the transmission and spread of TB is crucial. Here are some preventive measures individuals can take:
- Vaccination: The Bacillus Calmette-Guérin (BCG) vaccine can help protect against severe forms of TB, particularly in children.
- Infection Control: Covering the mouth and nose when coughing or sneezing, using tissues or elbows, and promptly disposing of used tissues can help prevent the spread of TB.
- Ventilation: Ensuring proper ventilation in living spaces helps reduce the concentration of infectious particles in the air.
- Screening and Testing: Regular screening for TB is essential, especially for individuals at higher risk, such as healthcare workers or those living in high-risk areas.
- Treatment of Latent TB Infection: Individuals with latent TB infection should receive appropriate treatment to prevent the progression to active TB disease.
- Healthy Lifestyle: Maintaining a strong immune system through a balanced diet, regular exercise, adequate sleep, and stress management can help reduce the risk of developing TB.
Tuberculosis is a serious infectious disease that can have severe health consequences if left untreated. Early diagnosis, proper treatment, and adherence to preventive measures are essential in controlling the spread of TB. If you experience symptoms or suspect exposure to TB, consult a healthcare professional for an accurate diagnosis and appropriate treatment
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Causes and Risk Factors
Back to topTB is transmitted through the air when an infected person coughs, sneezes, or speaks, releasing tiny droplets containing the bacteria. Factors that increase the risk of contracting TB include close contact with an infected individual, living in crowded or poorly ventilated environments, weakened immune system (such as due to HIV/AIDS or certain medications), malnutrition, and smoking.
Types of TB
Back to topThere are two primary forms of TB: latent TB infection and active TB disease. Latent TB infection occurs when the bacteria are present in the body but are kept in check by the immune system, causing no symptoms. Active TB disease occurs when the immune system fails to control the bacteria, resulting in symptoms and the potential for transmission to others.
Symptoms
Back to topTB primarily affects the lungs, but it can also impact other parts of the body, such as the kidneys, spine, and brain. Common symptoms of active TB disease include persistent coughing (sometimes with blood), chest pain, fatigue, unintentional weight loss, fever, night sweats, and loss of appetite. Symptoms may be mild and develop gradually, leading to delayed diagnosis.
Diagnosis
Back to topIf TB is suspected, a healthcare professional will conduct a thorough evaluation. This may include a physical examination, review of medical history, chest X-ray, and sputum analysis. Sputum analysis involves examining a sample of mucus produced during coughing to identify the presence of TB bacteria. In some cases, additional tests such as a CT scan or a biopsy may be necessary for a definitive diagnosis.
Treatment
Back to topTB is a treatable disease. The primary treatment for active TB disease involves a combination of antibiotics prescribed by a healthcare professional. The most commonly used medications include isoniazid, rifampin, ethambutol, and pyrazinamide. The treatment course typically lasts for several months to ensure complete eradication of the bacteria. It is essential to follow the prescribed treatment regimen diligently to prevent the development of drug-resistant strains of TB.
Prevention and Lifestyle Changes
Back to topPreventing the transmission and spread of TB is crucial. Here are some preventive measures individuals can take:
- Vaccination: The Bacillus Calmette-Guérin (BCG) vaccine can help protect against severe forms of TB, particularly in children.
- Infection Control: Covering the mouth and nose when coughing or sneezing, using tissues or elbows, and promptly disposing of used tissues can help prevent the spread of TB.
- Ventilation: Ensuring proper ventilation in living spaces helps reduce the concentration of infectious particles in the air.
- Screening and Testing: Regular screening for TB is essential, especially for individuals at higher risk, such as healthcare workers or those living in high-risk areas.
- Treatment of Latent TB Infection: Individuals with latent TB infection should receive appropriate treatment to prevent the progression to active TB disease.
- Healthy Lifestyle: Maintaining a strong immune system through a balanced diet, regular exercise, adequate sleep, and stress management can help reduce the risk of developing TB.
Tuberculosis is a serious infectious disease that can have severe health consequences if left untreated. Early diagnosis, proper treatment, and adherence to preventive measures are essential in controlling the spread of TB. If you experience symptoms or suspect exposure to TB, consult a healthcare professional for an accurate diagnosis and appropriate treatment
This referenced content has been reviewed by Dr Cilliers, who is a qualified medical doctor with extensive experience in the private healthcare sector of South Africa, particularly in the disciplines of emergency medicine, general practice, geriatrics, healthcare leadership, sub-acute care and physical rehabilitation.
- World Health Organization. Tuberculosis. Available at: https://www.who.int/health-topics/tuberculosis#tab=tab_1
- Centers for Disease Control and Prevention. Tuberculosis (TB) – Causes & Transmission. Available at: https://www.cdc.gov/tb/topic/basics/causes.htm
- World Health Organization. Tuberculosis. Available at: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
- Centers for Disease Control and Prevention. Tuberculosis (TB) – Symptoms & Causes. Available at: https://www.cdc.gov/tb/topic/basics/symptoms.htm
- Centers for Disease Control and Prevention. Tuberculosis (TB) – Diagnosis. Available at: https://www.cdc.gov/tb/topic/testing/default.htm
- World Health Organization. Guidelines for Treatment of Drug-Susceptible Tuberculosis and Patient Care. Available at: https://apps.who.int/iris/bitstream/handle/10665/44165/9789241547833_eng.pdf
- Centers for Disease Control and Prevention. Tuberculosis (TB) – Treatment. Available at: https://www.cdc.gov/tb/topic/treatment/default.htm
- World Health Organization. Latent Tuberculosis Infection: Updated and Consolidated Guidelines for Programmatic Management. Available at: https://apps.who.int/iris/bitstream/handle/10665/260233/9789241550239-eng.pdf
- World Health Organization. Tuberculosis: Prevention and Control. Available at: https://www.who.int/news-room/fact-sheets/detail/tuberculosis#prevention
- Centers for Disease Control and Prevention. Tuberculosis (TB) – Get Tested. Available at: https://www.cdc.gov/tb/topic/testing/gettested.htm
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