Treating paediatric patient isnt easy,when to start and when to stop. usually physicians rely on xray to stop or continue treatment after 6 months. but must be noted that after 6 months taking multiple drugs for tuberculosis, improvement in chest x ray not as fast as we hope. based on tuberculosis handbook guide that printed by health ministry of indonesia, written that stopping tuberculosis treatment should be based on clinical improvement of patient symptoms during treatment, nor X-ray neither acid fast bacilli staining <because in children hard to spit sputum easily and bronchial lavage is quite invasive and uncomfort for patient>. if after 6 months treatment, there is prominent clinical improvement, all treatment should be stopped without any additional treatment.
Reference:
Pedoman Nasional Tuberkulosis halaman 26 edisi 2, cetakan pertama, Departemen Kesehatan Republik Indonesia
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