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Table of Contents

THERAPY OF TUBERCULOSIS

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Mycobacterium Tuberculosis

The disease

Medical treatments for tuberculosis in the past

The Sanatorium Movement

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First Effective antimicrobial chemotherapy

Lessons learned from early clinical trials of TB drugs

New Medical Therapy of Tuberculosis

Reversal of a trend

Current status of tuberculosis control

Therapeutic agents for tuberculosis

The principles of therapy

Phases of TB Treatment

Activity of antituberculous drugs

Initial therapy: Four Drugs

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Need for 4 drug initial therapy

ISONIAZID

ISONIAZID RESISTANCE

RIFAMPIN

RIFAMPIN RESISTANCE

PYRAZINMIDE

ETHAMBUTOL

STREPTOMYCIN

STREPTOMYCIN RESISTANCE

Therapeutic Regimens

Completion of therapy

RISK FACTORS FOR RESISTANCE

Risk factors for resistance

Compliance with TB Therapy is Difficult: Least Restrictive to Most Restrictive

Rate of Therapy Completion after Each Legal Step

Directly observed therapy (DOT) vs Self administered therapy (SAT)

Directly observed therapy (DOT) vs Self administered therapy (SAT)

Completion of Therapy Rates

Completion Rates, DOT and SAT

Case Count: 1993-1997

Second line drugs

Characteristics of 2nd line therapy

Potential new agents

Rifapentine

Preventive therapy for tuberculous infection

Preventive therapy for tuberculous infection

New Short Course Preventive Therapy

Nontuberculous mycobacteria

Treatment of nontuberculous mycobacteria

Summary: Therapy of tuberculosis

Author: Patrick J. Brennan, M.D.