Health Condition

Tuberculosis

Overview

Understanding Tuberculosis

Tuberculosis (TB) is an infectious disease caused by bacteria that most often affects the lungs. It spreads through the air when people with TB cough, sneeze or spit.

Tuberculosis is preventable and curable. About a quarter of the global population is estimated to have been infected with TB bacteria. In general, people with TB infection don't feel sick and are not contagious.

About 5-10% of people infected with TB will eventually get symptoms and develop TB disease. Babies and children are at higher risk of developing the disease if they are infected.

Tuberculosis Care

Key Facts

1/4

Of the global population estimated to have been infected with TB bacteria

5-10%

Of infected people will develop TB disease

12x

People living with HIV are 12 times more likely to fall ill with TB

#1

TB is the leading cause of death among people with HIV

Know Your Risk

Risk Factors

Conditions That Increase Risk

  • Diabetes (high blood sugar)
  • Weakened immune system (for example, from HIV)
  • Undernutrition
  • Tobacco use
  • Harmful use of alcohol

High-Risk Groups

  • Babies and children (higher risk of developing disease if infected)
  • People in close contact with TB patients
  • Healthcare workers
  • People living in crowded conditions
Recognizing TB

Signs & Symptoms

In general, people with TB infection don't feel sick and are not contagious. Only a small proportion of people who get infected with TB will get TB disease and develop symptoms.

TB disease occurs when bacteria multiply in the body and affect different organs. TB symptoms may be mild for many months, so it is easy to spread TB to others without knowing it.

Common symptoms of TB:

Prolonged cough (sometimes with blood)
Chest pain
Weakness
Fatigue
Weight loss
Fever
Night sweats

The symptoms people get depend on which part of the body is affected by TB. While TB usually affects the lungs, it can also involve the kidneys, brain, spine and skin.

Tuberculosis Symptoms
Protect Yourself

Prevention & Control

Follow these steps to help prevent tuberculosis infection and spread:

1

Seek Medical Attention

If you have symptoms like prolonged cough, fever and unexplained weight loss, seek medical attention. Early treatment can help stop the spread of disease.

2

Get Screened

If you are at increased risk, such as having HIV or contact with people who have TB, get screened regularly.

3

Complete Preventive Treatment

If prescribed TB preventive treatment (TPT), complete the full course to prevent infection from becoming disease.

4

Practice Good Hygiene

If you have TB, cover your mouth when coughing, wear a mask, and dispose of tissues properly.

5

Ventilation

In healthcare facilities, ensure well-ventilated spaces and use respirators to reduce infection.

TB Prevention
Medical Care

Treatment & Medication

Standard Antibiotics

The most common antibiotics used are rifampicin, isoniazid, pyrazinamide, and ethambutol. Medications need to be taken daily for 4-6 months.

Complete Treatment

To be effective, medications need to be taken daily for 4-6 months. Stopping early can cause drug resistance.

Drug-Resistant TB

TB that doesn't respond to standard drugs is called drug-resistant TB and requires treatment with different medicines.

Supportive Care

People with acute TB should focus on managing symptoms, eating a healthy diet, and drinking plenty of liquids.

Drug Resistance

Multidrug-Resistant TB (MDR-TB)

Drug resistance emerges when TB medicines are used inappropriately, through incorrect prescription by health care providers, poor quality drugs, or patients stopping treatment prematurely.

MDR-TB is a form of TB caused by bacteria that do not respond to rifampicin and isoniazid, the two most effective first-line TB drugs. MDR-TB is treatable and curable by using other drugs, which tend to be more expensive and with more side effects.

In some cases, extensively drug-resistant TB or XDR-TB can develop, leaving patients with very limited treatment options.

MDR-TB Treatment

TB and HIV: A Lethal Combination

People living with HIV are 12 times more likely to fall ill with TB disease than people without HIV. TB is the leading cause of death among people with HIV.

HIV and TB form a lethal combination, each accelerating the other's progress. Integrated screening and treatment services are essential for people living with HIV.