Antituberculous Treatment Regimens

Antituberculous Medications

Pulmonary TB

  • ≥4% INH-resist. in community (incl. most of U.S.)
  • INH + RIF + PZA + EMB until suscept. known
  • If sensitive to INH & RIF → INH + RIF + PZA × 2 mo, then → INH + RIF × at least 4 mo

Figure:

  • 起始期:頭兩個月請愛用四合一 (INH、PZA、EMB、RIF)
  • 維持期:治療 2 個月後,如果細菌培養陰性,可轉為二合一 (INH、RIF) 再治療 4 個月.
    • 附註:圖中所示,如果開洞 (cavitation)、培養還是陽性,須延長治療期
  • 中樞神經肺結核 (CNS TB) 治療期最長,可能要 9~12 個月喔!