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The expected sputum smear examination results could be one of four. It should be noted that sure TB diagnosis depends on visualization of the Mycobacteria on a smear or culture.

The recommended method for sputum collection is described in the following table. Request a sputum examination for Acid Fast Bacilli, AFB (Smear stained by Z-N stain).Every pulmonary TB presumptive should submit three sputum samples (at least two samples).The first step is to register the presumptive in the presumptive case register.What to do for a presumptive (Suspect) pulmonary tuberculosis case? History of contact sometimes could be detected.

Fever for more than 2 weeks mainly at night.

avoid Rifampicin, aminoglycosides and Quinolones)

Persistent cough of 2 weeks or more with or without Production of sputum which may be blood-stained not responding to non-specific treatment (including antibiotics with no anti-TB effect i.e.

The first step of TB diagnosis is to suspect a case When to suspect TB (pulmonary TB)?ĬLINICAL PRESENTATION OF TBPulmonary TB Symptoms Physical signs Physical signs are non-specific and may not be helpful in confirming the diagnosis Chest – there may be crackles in the lung apices more pronounced on deep breathing localized wheeze in local obstruction or pressure dullness where there is effusion and in chronic disease there may be extensive fibrosis with the trachea pulled to one side.

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