Ben Amar J, Dhahri B, Aouina H, Azzabi S, Baccar M A, El Gharbi L, Bouacha H
Service de pneumologie, hôpital Charles-Nicolle, faculté de médecine de Tunis, université Tunis El Manar, Tunis, Tunisie.
Service de pneumologie, hôpital Charles-Nicolle, faculté de médecine de Tunis, université Tunis El Manar, Tunis, Tunisie.
Rev Pneumol Clin. 2015 Apr-Jun;71(2-3):122-9. doi: 10.1016/j.pneumo.2014.09.001. Epub 2014 Nov 27.
The aim of this article is to give practicing physicians a practical approach to the treatment of latent and active tuberculosis. Most patients follow TB standard treatment recommended by WHO that depend on category of patient. It is a combination of four essential tuberculosis drugs of the first group: isoniazid, rifampicin, pyrazinamid and ethambutol; in some cases streptomycin can replace ethambutol. This initial phase of intensive treatment is followed by a consolidation phase. Drugs should be administered in the morning on an empty stomach one hour before meals. Treatment of latent tuberculosis (TB) infection is an important component of TB control programs. Preventive treatment can reduce the risk of developing active TB.
本文旨在为执业医师提供一种治疗潜伏性和活动性结核病的实用方法。大多数患者遵循世界卫生组织推荐的结核病标准治疗方案,该方案取决于患者类别。它是第一组四种基本抗结核药物的组合:异烟肼、利福平、吡嗪酰胺和乙胺丁醇;在某些情况下,链霉素可替代乙胺丁醇。强化治疗的初始阶段之后是巩固阶段。药物应在早餐前一小时空腹时服用。潜伏性结核感染的治疗是结核病控制项目的重要组成部分。预防性治疗可降低发生活动性结核病的风险。