What is the treatment protocol for Skeletal Tuberculosis?
Skeletal tuberculosis: As per the revised national tuberculosis program skeletal tuberculosis is considered as category III and the following treatment is recommended: INH 300mg per day Rifampicin 450mg per day Pyrazinamide 1.5G per day The above combination for 2 months followed by 4 months INH,Rifampicin. TB spine can be considered as seriously ill alloted Category I and treated with Streptomycin 0.75G or Ethambutol 800mg per day in addition to the drugs INH,Rifampicin +Pyrazinamide in the first 2 months.The usual continuation phase of 4 months INH and Rifampicin. Most orthopedicians feel that 6 months treatment is not adequate for TB spine.A study of Indian council of medical research compared three treatment series.In 2 of the series the patients were ambulant from the start of chemotherapy and received INH and Rifampicin for either 6 months (Mb6) or 9 months(Amb9).In the third series all patients had isoniazid plus rifampicin for 6 months and in addition underwent a modified “Hong
