Drug Resistant Tuberculosis | Early Indicators | Medical Algorithm

Are you evaluating a patient with tuberculosis?

Yes

Has the patient been exposed?

• to a patient with known drug-resistant tuberculosis?

Yes

• while traveling to a region with a high prevalence of drug-resistant tuberculosis?

Yes

• to a person with active tuberculosis who is from an area with a high prevalence of drug resistance?

Yes

• to a person who continues to have positive sputum AFB smears 2 months after starting combination chemotherapy?

Yes

• to a person with active tuberculosis who has had treatment failure or who has relapsed after treatment?

Yes

Does the patient?

• have a long-term history of tuberculosis that has been inadequately treated or that has relapsed?

Yes

• continue to have positive AFB smears 2 months after starting combination chemotherapy?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of indicators suggesting the possibility of a drug-resistant strain

Should a drug resistant strain be suspected in this patient?

Caution: A qualified health practitioner should verify all results.
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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Model for Identifying a Patient with Health Care-Associated Pneumonia Caused by Antibiotic-Resistant Bacteria
- Multi-Drug Resistant Neisseria Gonorrhoeae | Gonorrhea Antibiotic Treatment
Criteria For Diagnosis
- Predicting Antibiotic Resistant Pneumonia in Institutionalized Patients
Severity, Prognosis, Stage
- Predictive Index for Antibiotic Resistance in Gram-Negative Bacteremia
Complications
- Model for Identifying a Patient with Health Care-Associated Pneumonia Caused by Antibiotic-Resistant Bacteria

Therapy

Options
- Recommendations for Minimizing Antibiotic Resistance
Selection
Administration
- Vancomycin Resistant Enterococci (VRE) Prediction Rule | Vanco Resistant Enterococcus
Failure Handling And Therapy Escalation

Monitoring

Response To Therapy
- Predictive Index for Antibiotic Resistance in Gram-Negative Bacteremia
- Prediction Rule for Identifying Patients at Risk for Vancomycin Resistant Enterococci at Hospital Admission
Failure Handling (loss To Followup, Etc)
- CDC 12 Step Program for Preventing Antibacterial Resistance in Hospitalized Patients

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

When To Suspect That a Patient May Have Drug-Resistant Mycobacterium tuberculosis

Purpose: To evaluate a patient with tuberculosis for indicators suggesting exposure or infection with a drug-resistant strain of Mycobacterium tuberculosis.

Evaluation

Results

Please fill out required fields.

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10