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 due to HIV/AIDS or certain medications), malnutrition, and smoking.
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.
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.
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.
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.
Preventing the transmission and spread of TB is crucial. Here are some preventive measures individuals can take:
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.
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