Tuberculosis is a disease that can be treated and cured. Treatments are mainly based on therapeutic education and prescription of 4 antibiotics for 6 months.
The treatment is restrictive, and carries risks of side effects, especially in the liver. Patients should be isolated while the sputum sterilizes (without the presence of bacteria), normally between 10 and 15 days, if the treatment is effective and taken correctly.
The patient must be informed and closely monitored from a medical point of view. To ensure the effectiveness of treatment, the doctor will monitor the following: disappearance of the bacterium (BK) in the sputum and healing of infectious foci, recovery of a good general condition, possible appearance of side effects, correct and regular medication taken by the patient, etc. When the patient is better, he regains his appetite, no longer has fever and his sputum is sterile (without bacteria), the patient is no longer contagious. The isolation can then be suspended.
If anti-tuberculosis treatment is poorly monitored or stopped, BK may become resistant to treatment. When the treatment is not very effective, it may be due to the fact that the patient does not take the medication correctly or regularly; if this is the case, it is necessary to hospitalize the patient and to supervise the good taking of the drugs.
When a person is infected, the doctor must undertake an investigation: find the contaminant and look for people who may have been infected by the patient. Starting with the close entourage: the family, the collective nursery, the school. It is necessary to treat the tuberculosis patients found to cure them and to treat preventively those who made or make a primary infection. That said, patients who have had a well-treated tuberculosis primary infection can nevertheless develop TB disease many years later. This, despite good immunity. It is for this reason that these people must be regularly followed.
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