Treating Drug-Resistant Tuberculosis
People infected with tuberculosis (TB) bacteria that are antibiotic-resistant have what is called drug-resistant tuberculosis. There are different types of drug-resistant TB.
- Mono-resistant TB happens when the bacteria don't respond to one first-line drug.
- Multidrug-resistant TB happens when the bacteria don't respond to at least the two strongest TB drugs (isoniazid and rifampin).
- Poly-resistant TB happens when the bacteria don't respond to more than one first line drug other than isoniazid and rifampin.
- Extensively drug-resistant TB happens when the bacteria are resistant to isoniazid, rifampin, and several other medicines used to treat TB. This is rare.
People with drug-resistant tuberculosis need special treatment programs. Treatment usually involves several medicines.footnote 1
- The choice of medicines depends on the results of sensitivity testing.
- It is very important to take every dose of medicine. So directly observed therapy (DOT) usually is done. During DOT, a health professional watches you take every dose of medicine.
- Treatment is continued until TB bacteria can no longer be found in two sputum samples taken a month apart. This may take 18 months or longer in people with multidrug-resistant TB (MDR-TB).
Some TB bacteria have become resistant to all of the antibiotics that are commonly used to treat TB. This is sometimes called totally resistant tuberculosis (TDR-TB).footnote 2 A TB infection of this type is very difficult to treat.
- Long R, et al. (2007). Drug-resistant tuberculosis. Canadian Tuberculosis Standards, pp. 146-181. Ottawa: Public Health Agency of Canada, Canadian Lung Association. Available online: http://www.lung.ca/cts-sct/pdf/tbstand07_e.pdf.
- Cegielski P, et al. (2012). Challenges and controversies in defining totally drug-resistant tuberculosis. Emerging Infectious Diseases [Internet], November. Available online: http://wwwnc.cdc.gov/eid/article/18/11/12-0526_article.htm.
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Brian D. O'Brien, MD - Internal Medicine
Adam Husney, MD - Family Medicine
Specialist Medical Reviewer W. David Colby IV, MSc, MD, FRCPC - Infectious Disease
Current as ofDecember 6, 2017
Current as of: December 6, 2017
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