Tuberculosis

Paper Summary:

This paper discusses tuberculosis in the context of a case scenario. It defines the disease's, pathogenesis, clinical manifestations, risk factors, treatment and nursing interventions along with several questions pertaining to patients' rights, safety precautions, the role of the charge nurse in the case, and the different nursing diagnoses of the patient are also discussed.

From the Paper:

"Tuberculosis is an acid-fast bacilli infection infecting primarily the lung parenchyma. The organism, Mycobacterium tuberculosis, is a rod-shaped, aerobic, non-spore-forming organism possesses several virulence factors that distinguish it from other lung parenchyma infections curable with typical antibiotics. The organism's unique cell wall, comprised of mycolic acid cross-linked to an underlying arabinogalactan and peptidoglycan layer, makes the organism impermeable to antibiotics (Raviglione & O'Brien, 1998). Cord factors that induce cytokine activation and lipoarabinomannan that helps the bacilli survive in macrophages after ingestion are other virulence factors which help prolong survival (Raviglione & O'Brien, 1998). The typical transmission of bacilli is through inhaled droplets from an adult with an active infection."

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