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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For TB-MDR?

Hi Doctor,



There's a case of TB - MDR in my family which was under treatment for the last 3 months for MDR with 3 medicines that were shown to be sensitive towards the bacilli. But the patient developed hypersensitivity to one of those drugs after a month because of which it was discontinued by the doctor for 15 days and now that medicine is not responding. The doctor has adviced for another sensitivity test which will be done today. The doctor says that the chances of survival are near to zero. The patient's condition went better after the sensitive combination of 3 drugs were administered, but because of gastric hypersensitivity and urticaria, one of the 3 drugs was discontinued. Now the condition is worsening. Is there really any hope that some treatment could work? The doctor is administering bactericidals intravenously but says that no bacteriostatics are available.
Fri, 11 Nov 2016
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Internal Medicine Specialist,  's  Response
HI...MDR-TB is very difficult to treat.It requires treatment for minimum of 15 to 20 months depending on the response and culture. Because they are multidrug resistant sensitivity test is very important before choosing combination of drugs.Unfortunately since he is having hypersensitivity reaction to a drug its need to stopped.But there are lot of medications which come under 2nd line and 3rd line ATT (anti-tubercular) drugs which can be used after sensitivity test. Don't loose hope, give doctor full cooperation so that he can give best possible treatment and combination of drugs...
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What Is The Prognosis For TB-MDR?

HI...MDR-TB is very difficult to treat.It requires treatment for minimum of 15 to 20 months depending on the response and culture. Because they are multidrug resistant sensitivity test is very important before choosing combination of drugs.Unfortunately since he is having hypersensitivity reaction to a drug its need to stopped.But there are lot of medications which come under 2nd line and 3rd line ATT (anti-tubercular) drugs which can be used after sensitivity test. Don t loose hope, give doctor full cooperation so that he can give best possible treatment and combination of drugs...