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Файл:English / Prezentatsia_lektsii_8_Perevod.ppt
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- •Lecture subject:
- •TUBERCULOUS
- •Risk groups for tuberculous meningitis:
- •Clinical pucture
- •Clinical pucture
- •Clinical pucture
- •Clinical pucture
- •Clinical pucture
- •Clinical picture of focal brain lesions:
- •COMPOSITION OF SPINAL LIQUID
- •COMPOSITION OF SPINAL LIQUID
- •COMPOSITION OF SPINAL LIQUID (LIQUOR CEREBROSPINALIS):
- •CLINICAL FORMS OF TUBERCULOUS
- •CLINICAL FORMS OF TUBERCULOUS LESIONS OF BRAIN TUNICS:
- •CLINICAL FORMS OF TUBERCULOUS LESIONS OF BRAIN TUNICS:
- •PECULARITIES OF TUBERCULOUS MENINGITIS IN CHILDREN AND TEENAGERS:
- •PECULARITIES OF TUBERCULOUS MENINGITIS IN CHILDREN AND TEENAGERS:
- •PECULARITIES OF TUBERCULOUS
- •PECULARITIES OF TUBERCULOUS MENINGITIS IN CHILDREN AND TEENAGERS:
- •IT’S IMPORTANT TO CONSIDER
- •IT’S IMPORTANT TO CONSIDER
- •Peculiarities of the course of tuberculous meningitis in modern epidemiological settings:
- •Complications:
- •Pseudomeningitis
- •Serous (aseptic) meningitis:
- •Epidemic cerebrospinal meningitis
- •Poliomyelitis (meningeal form)
- •Acute epidemic encephalitis
- •Encephalopyosis
- •Brain tumor
- •The principles of treatment of brain tunics tuberculosis, the combination of drugs, the
- •Degree of penetration of preparations to CSL
- •THANK YOU FOR YOUR ATTENTION
The principles of treatment of brain tunics tuberculosis, the combination of drugs, the duration of their administration are similar to those for adult patients, with the exception of calculating the daily dose of drugs per 1 kg of the child’s body weight. An adequate dose of isoniazid 30 mg/kg per day should be considered. The younger the child, the higher the dose should be. appoint strict bed rest for 1.5 - 2 months; after 3-4 months, they are allowed to move around the ward.
In the first 2-3 years, convalescents are given anti- relapse courses for 2 months in spring and autumn in a specialized sanatorium.
Degree of penetration of preparations to CSL
Preparations
1.Isoniazid
2.Rifampicin
3.Streptomycin
4.Kanamycin
5.Cycloserine
6.Pyrazinamide
7.Ethambutol
8.Ethionamide
9.Prothionamide
10.PAS
11.Amikacin
12.Ciprofloxacin
13.Ofloxacin
Penetration to CSL, %
1.Up to 90%
2.26%
3.20%
4.9 – 68%
5.50 – 80%
6.100%. Recommended by WHO.
7.20 – 54%
8.40 – 100%
9.40 – 100%
10.-
11.50 – 90%
12.92%
13.28 – 44%
THANK YOU FOR YOUR ATTENTION
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