Q:

Which of the following chemotherapeutic regimens are currently recommended for the treatment of pulmonary infection caused by M. tuberculosis?

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Which of the following chemotherapeutic regimens are currently recommended for the treatment of pulmonary infection caused by M. tuberculosis? 


  1. Isoniazid, rifampin, pyrazinamide, and streptomycin for 24 months.
  2. Isoniazid for 9 months with ethambutol for the first 3 months.
  3. Isoniazid and rifampin for 6 months with pyrazinamide added for the first two months.
  4. Isoniazid alternating with rifampin at 3-month intervals for 12 months.
  5. Isoniazid and rifampin for 9 months.

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C. Isoniazid and rifampin for 6 months with pyrazinamide added for the first two months.

E. Isoniazid and rifampin for 9 months. 

DISCUSSION: Treatment of tuberculosis with a single drug leads to rapid emergence of drug-resistant organisms. Any treatment regimen that employs only one drug for a period of time encourages the development of drug-resistant tuberculosis. Currently, the American Thoracic Society recommends either (1) a 6-month regimen consisting of isoniazid, rifampin, and pyrazinamide for 2 months followed by isoniazid and rifampin for 4 months or, alternatively, (2) a 9-month course of isoniazid and rifampin. Prolonged courses of treatment beyond 9 to 12 months no longer are considered necessary. 

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