What is Ramu has been put on DOTS Plus regime recently, which of the following are included in the treatment of this patient? Note: Km - Kanamycin, Ofx - Ofloxain, Eto - Ethinamide, Cs - Cycloserine, Z - Pyrazinamide, E - Ethambutol. The numbers indicate the number of months of treatment. and explain in detail?
In Dots Plus regime the intense phase is for a minimum of 6 months, extended up to 9 months in patients who have +ve culture after 4th month of treatment. The continuation phase should be a minimum of 18 months. Following intensive phase culture examination is done at 4, 6, 12, 18 and 24th month of treatment. If second line drug sensitivity test is available from accredited laboratory individualised treatment may be used in such individuals. Note: Km - Kanamycin, Ofx - Ofloxain, Eto - Ethinamide, Cs - Cycloserine, Z - Pyrazinamide, E - Ethambutol. MDR - TB means resistance at least to Rifampicin and Isoniazid