Tratamiento de la Tuberculosis del Tracto Urinario: Protocolo Basado en Evidencia
La tuberculosis del tracto urinario (ICD-11 1B12.5) es una manifestación extrapulmonar de la tuberculosis que afecta los órganos urinarios. El tratamiento sigue un enfoque farmacológico estructurado dirigido por guías basadas en evidencia.
Enfoque Terapéutico
El régimen estándar consiste en un curso farmacológico oral de dos fases: una fase inicial intensiva de combinación seguida de una fase de mantenimiento de consolidación con menos agentes.
References
DOI: 10.1590/S1677-5538.IBJU.2024.0590
The treatment of UGT comprises two phases (Table-2): an intensive (or attack) phase with rifampicin, isoniazid, pyrazinamide and ethambutol that lasts for two months and a maintenance phase with rifampicin and isoniazid that lasts for months (GRADE: high, strong).
In Brazil, the basic regimen for tuberculosis treatment consists of four drugs in the intensive phase (rifampicin, isoniazid, pyrazinamide and ethambutol), which lasts 2 months, and two drugs (rifampicin and isoniazid, which have greater bactericidal power) in the maintenance phase, which lasts 4 months.
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