Rule of 2 for Tuberculosis
:: Rule of Two for Tuberculosis:: 1. 2 out of 10 word cases of TB are in India 2. Tuberculosis has 2 words T and B = TB 3. TB can be pulmonary or extra pulmonary. 4. Resistant TB can be MDR or XDR Tb. 5. MDR TB is seen in 2% of new TB cases. 6. 2 patients of every 10 patients are extra pulmonary TB cases 7. One can treat both sputum positive and sputum negative cases 8. Sputum negative cases confirm by GeneXpert or LPA test 9. Don’t ignore fever and cough. 10. Don’t ignore fever of more than 2 weeks duration. 11. Don’t ignore cough of more than 2 weeks duration. 12. Get 2 sputum examination to rule out TB (stat and nearly morning). 13. Collect 2 ML of sputum for examination. 14. Sputum can be tested by Z N Stain or fluorescent microscopy. 15. 2 tests for TB to remember: Sputum AFB and Molecular tests. 16. Molecular tests can be GeneXpert TB test or LPA (line probe assay) test. 17. GeneXp