{"presentation":{"slides":[{"elements":[{"x":5.446623093681917,"y":6.479481641468682,"width":88.23529411764706,"height":58.31533477321815,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Tuli et al. suggested the clinical criteria to suspect drug resistant cases of spinal tuberculosis, which include patients of spinal tuberculosis on ATT for 5 months or more showing:<\/p>\n\n

\n\t
Poor clinical and radiological response <\/p>\n\t<\/li>\n\t
\n\t
Appearance of a fresh lesion of osteoarticular tuberculosis <\/p>\n\t<\/li>\n\t
\n\t
Deterioration of spinal deformity <\/p>\n\t<\/li>\n\t
\n\t
Appearance of discharging sinus <\/p>\n\t<\/li>\n\t
\n\t
Wound dehiscence of previously operated scar<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"5769e74d-7963-4e97-bd74-eb83e9b2b6c8","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":53.37549019607843,"y":84.40194384449245,"width":43.57298474945534,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Tuli SM. Challenge of therapeutically refractory and multidrug resistant tuberculosis in orthopaedic practice. Indian J Orthop. 2002<\/span><\/p>\n"},"subContentId":"4df8fbca-eeb7-48a2-96cc-64f966bb6245","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.3544662309368185,"y":4.325269978401728,"width":90.41394335511983,"height":56.15550755939525,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
- \n\t
  The largest studies till date report the prevalence of multi-drug resistance in spinal TB to be between 16-30 % <\/strong>
  \n\t a) (30.7%, n= 249, Li L et al.; 16.2%, n= 686, Mohan K et al.; 30.3%, n=152, Xu Lan et al.). <\/p>\n\t<\/li>\n\t
- \n\t
  The largest Indian study by Mohan K et al. found widespread resistance to both isoniazid (15.4%) and Rifampicin (13.6%), followed by streptomycin (11.5%) and least resistance to second line injectables. <\/p>\n\t<\/li>\n\t
- \n\t
  Currently there is no data on management of drug resistant spinal TB and probably treatment similar to MDR pulmonary TB may be followed.<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"b93fdfe0-4d5f-44f1-9da2-33a927d8fb6a","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":53.37549019607843,"y":84.40194384449244,"width":43.57298474945534,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
  Drug resistance patterns in 111 cases of drug-resistant tuberculosis spine. Mohan K et al. European Spine Journal 2013 <\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"abb55fa2-3dce-4107-8b79-acbb31a27778"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Drug Resistant Spinal TB

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