Assessing Infection Risks in ICU Visits: A Case of Tuberculosis Exposure
Infection risk Hello, Dr. Yang. My father initially received intubation treatment in the emergency department and was later transferred to the intensive care unit (ICU). On the third day in the ICU, he was diagnosed with tuberculosis. During our visit on the first day in the ICU,...
Dr. Yang Wenda Reply:
Hello: Your father's intubation has a fixed outlet for ventilation, and tuberculosis bacteria will only be expelled through the tracheal outlet during suctioning. Additionally, the contact time was only 90 minutes (according to the Centers for Disease Control's definiti...[Read More] Assessing Infection Risks in ICU Visits: A Case of Tuberculosis Exposure
Understanding Latent Tuberculosis: Infection Risks and Transmission
The incubation period of pulmonary tuberculosis? If I was in the same space as a tuberculosis patient in July, but I was only notified in September that they had developed tuberculosis in July, is it possible that I was infected during that time? If I was infected, would I contin...
Dr. Yang Wenda Reply:
Hello: If you have been in contact with a tuberculosis (TB) patient, there is a risk of infection if the exposure time meets the following criteria: (1) continuous contact for 8 hours or cumulative contact totaling 40 hours, with an approximate infection risk of 30%. Currently, t...[Read More] Understanding Latent Tuberculosis: Infection Risks and Transmission
Unexpected Hemoptysis During Tuberculosis Treatment: What to Know
During the treatment of pulmonary tuberculosis, there is a sudden onset of hemoptysis? Hello Doctor: My mother is currently being treated for tuberculosis and has been undergoing treatment for over four months. Previously, her X-ray showed cavities, and she has also had a CT scan...
Dr. Wu Yingxun Reply:
Hemoptysis indicates a worsening of pulmonary tuberculosis. Given the presence of cirrhosis and splenomegaly, it may be necessary to check for a decrease in platelet count. A follow-up visit to the hospital for physician evaluation is recommended to assess whether there is a fung...[Read More] Unexpected Hemoptysis During Tuberculosis Treatment: What to Know
Proper Handling of Sputum from Tuberculosis Patients: Guidelines and Precautions
Sputum of tuberculosis patients If your hands come into contact with the sputum of a patient with tuberculosis, it is important to follow these steps for proper handling: 1. **Immediate Hand Hygiene**: Wash your hands thoroughly with soap and water for at least 20 seconds. If so...
Dr. Zhang Ziyan Reply:
Dear Xiao Ming, tuberculosis bacteria are rarely transmitted through hand contact. As long as there are no open wounds and no prolonged direct contact, there is no need to worry too much. If you experience symptoms such as a persistent cough, you can visit a pulmonologist for an ...[Read More] Proper Handling of Sputum from Tuberculosis Patients: Guidelines and Precautions
Understanding Persistent Phlegm Sounds in the Lungs After Medical Evaluation
Respiratory sounds with sputum during breathing (medical consultation has been sought)? Hello doctor, I would like to ask about my previous visit to Chang Gung Memorial Hospital where I had an X-ray and sputum test. I do not have tuberculosis, but it seems my lungs are a bit dirt...
Dr. Wu Yingxun Reply:
Hello: Drinking more water can help make phlegm easier to cough up, which should be better. Evaluate the symptoms to decide whether a follow-up visit is necessary; at least the X-ray only showed some mild abnormalities.[Read More] Understanding Persistent Phlegm Sounds in the Lungs After Medical Evaluation
Understanding Lung Issues: What to Do About Suspicious Findings
Pulmonary issues? Hello Dr. Jian, A year ago, during a health check-up, I underwent a chest X-ray and a low-dose computed tomography (CT) scan. The report indicated suspected pulmonary tuberculosis (I have not experienced any cough or symptoms). I have been followed up in the ou...
Dr. Jian Shuntian Reply:
(1) The three small nodules later connected are likely not tumors; they could be pulmonary tuberculosis. A biopsy and bronchoscopy can be performed. If these two procedures are not done, or if they are done without conclusive results, a trial treatment for tuberculosis can be con...[Read More] Understanding Lung Issues: What to Do About Suspicious Findings
Impact of Frequent Chest X-rays on Health: A Guide for Patients
Frequency of chest X-rays Hello Doctor, I am a contact of tuberculosis and have been under surveillance for two years. I have had chest X-rays almost every year due to school entrance examinations and military service physicals, and I even had them twice in one year. Will this fr...
Dr. Zhou Ziguang Reply:
Hello: The radiation exposure from a chest X-ray is approximately 0.02 millisieverts. According to the data from the Atomic Energy Commission, a dose below 100 millisieverts will not cause clinical functional impairment. (A round trip from Taipei to the U.S. West Coast is about 0...[Read More] Impact of Frequent Chest X-rays on Health: A Guide for Patients
Understanding Tuberculosis Transmission and Dust Exposure Risks
Tuberculosis and Dust Exposure Concerns I would like to ask the doctor if tuberculosis can be transmitted through objects. I am particularly concerned about whether I could get infected if I visit a convenience store where an employee is infected. Recently, I noticed that the sta...
Dr. Zhou Ziguang Reply:
Hello: 1. Tuberculosis (TB) is transmitted through the air, especially in enclosed spaces where individuals are in close proximity for extended periods; it is not transmitted through food. 2. Long-term inhalation of dust can damage the lungs.[Read More] Understanding Tuberculosis Transmission and Dust Exposure Risks
Can Ginseng and Chicken Essence Help Patients on TB Medication?
Inquiry about supplements while taking tuberculosis medication? Hello, doctor. My father was hospitalized a few months ago due to pleural effusion, and after draining the fluid, he was diagnosed with tuberculosis (tuberculous pleuritis). He started taking the prescribed anti-tube...
Dr. Jian Shuntian Reply:
Ginseng may cause a tendency to cough up blood; however, if there is no hemoptysis or lung cavitary lesions or bronchiectasis, it should be acceptable. Chicken essence should not pose any issues. Sincerely, Jian Shun Tian.[Read More] Can Ginseng and Chicken Essence Help Patients on TB Medication?
Understanding Nighttime Chest Pain and Discomfort in Older Adults
Dad has been frequently waking up in the middle of the night due to upper body pain? Your father, who is 60 years old and has a history of smoking and alcohol use, has been experiencing pain in his upper arms that radiates to his chest during the night. The pain feels like it ori...
Dr. Zhang Ziyan Reply:
Hello, based on the symptom description, if a cardiologist has ruled out myocardial infarction, the next step may involve considering some sleep-related breathing issues (sleep medicine specialty). Other conditions to exclude include obstructive pulmonary disease caused by smokin...[Read More] Understanding Nighttime Chest Pain and Discomfort in Older Adults
How Long Should You Wait Between Lung Health Checkups?
The duration from Stage 1 to Stage 2 typically varies depending on the specific condition or disease being referenced. Please provide more context for a more accurate answer? Hello Dr. Zhou, During a health check-up at a hospital in Yilan, I voluntarily underwent a low-dose 64-s...
Dr. Zhou Ziguang Reply:
Hello, the reasonable follow-up for pulmonary nodules via computed tomography is every 3 months. If there is a tendency for enlargement, surgical resection is recommended. Considering disease progression, the amount of radiation exposure is relatively less important. Best wishes ...[Read More] How Long Should You Wait Between Lung Health Checkups?
Understanding Lung Nodules: What You Need to Know About Your Health
Regarding lung issues? My wife participated in a company health check in mid-April and recently received a report stating: "Suspected small nodule in the right upper lung, possibly a granuloma." Since last year's report did not show any abnormalities, we took her t...
Dr. Yang Wenda Reply:
Hello: Pulmonary nodules may be related to infections (usually accompanied by cough symptoms) such as tuberculosis, fungal infections, or residual scarring from pneumonia. They may also indicate early-stage tumors (but growth rate should be monitored, typically every 2-3 months)....[Read More] Understanding Lung Nodules: What You Need to Know About Your Health
Managing Spontaneous Pneumothorax in Patients with Tuberculosis
Severe coughing due to pulmonary tuberculosis can lead to pneumothorax? Hello Doctor: My brother, who is being treated for tuberculosis at home, experienced severe coughing one morning that led to respiratory distress and was rushed to the hospital for emergency care. The doctor ...
Dr. Zhou Ziguang Reply:
Hello: In cases of pneumothorax requiring mechanical ventilation, a chest tube is typically placed. If there is still no improvement, surgery may be considered, but the risks of the procedure need to be evaluated. Please discuss the severity of any prior tuberculosis with the pat...[Read More] Managing Spontaneous Pneumothorax in Patients with Tuberculosis
Understanding Lung Fibrosis, Calcification, and Acid-Fast Bacilli Testing
Lobar pulmonary fibrosis, calcification, and positive acid-fast bacilli test? I am a nursing student. In middle school, I had pneumonia that led to fibrosis in my right upper lung. However, during a health check-up last August, I noticed an increase in lung markings. I have a his...
Dr. Yang Wenda Reply:
Hello: The previous fibrosis in your right upper lung and the current calcification observed during the physical examination should be considered the same condition, both indicating non-active lesions. Treatment would only be necessary if a tuberculosis culture is positive two mo...[Read More] Understanding Lung Fibrosis, Calcification, and Acid-Fast Bacilli Testing
Understanding Lung Cavities: Concerns About Treatment and Diagnosis
Pulmonary cavity Hello Doctor: Previously, I inquired about my mother's issue with coughing up blood. Today, we received the report results, which indicate that there is a cavity in her lungs, and the sputum culture shows the presence of Pseudomonas aeruginosa. I forgot to a...
Dr. Yang Wenda Reply:
Hello: In cases of lung inflammation or the presence of cavities (which is different from pneumothorax or hemothorax), it is possible for two or more pathogenic bacteria to coexist. If there is no significant improvement in the lesions after antibiotic treatment for Pseudomonas a...[Read More] Understanding Lung Cavities: Concerns About Treatment and Diagnosis
Can a Child Be Infected Again After Preventive TB Treatment?
If a person who has previously received preventive treatment for tuberculosis (TB) experiences a relapse of the infection, can they still transmit the disease? Hello Doctor: My mother was diagnosed with open pulmonary tuberculosis last year and was cured after six months of treat...
Dr. Zhou Ziguang Reply:
Hello: If a family member has a recurrence of pulmonary tuberculosis and you are still a close contact, there is still a possibility of transmission. Should preventive medication be administered, is it necessary to conduct another examination and assessment, while also paying att...[Read More] Can a Child Be Infected Again After Preventive TB Treatment?
Concerns About a 3cm Tumor in the Left Lung Lobe: What to Know
There is a tumor approximately 3 centimeters in size in the left lung lobe? Hello Doctor: Recently, my mother has been experiencing a cough due to a cold for about a month. Her condition has been fluctuating, and in the past two weeks, she has been coughing up phlegm with blood s...
Dr. Yang Wenda Reply:
A 2-3 cm nodule or mass in the lungs may be indicative of inflammation (such as pulmonary tuberculosis or fungal infection), but it could also be a lung tumor (benign or malignant, which can only be distinguished through pathology reports). The attending physician will arrange fo...[Read More] Concerns About a 3cm Tumor in the Left Lung Lobe: What to Know
Am I at Risk of Contracting Tuberculosis After Brief Exposure?
Can one develop tuberculosis (TB)? I have recently experienced nasal congestion and a little phlegm, but due to work requirements, I had to come into contact with a patient who tested positive for tuberculosis. At that time, I was not wearing protective clothing, only a regular m...
Dr. Yang Wenda Reply:
Hello: 1. Regular masks cannot block tuberculosis bacteria; the general principle is to have the patient wear a regular mask to reduce the release of infectious droplets. 2. Negative pressure isolation rooms have air exchanges of more than 8 times per hour and are well-ventilated...[Read More] Am I at Risk of Contracting Tuberculosis After Brief Exposure?
Caring for Elderly Patients with Tuberculosis: Best Practices and Considerations
How to care for patients with pulmonary tuberculosis? 1. My father-in-law, who is 88 years old, was diagnosed with open pulmonary tuberculosis in mid-April. He was hospitalized at Taipei Veterans General Hospital for two weeks, during which three sets of sputum tests were conduct...
Dr. Zhou Ziguang Reply:
Hello: 1. The condition of sputum produced varies with each set, and the bacterial load may differ. 2. Aside from cases with infectious potential, caregivers should have protective measures and pay special attention to possible side effects of medications; otherwise, general care...[Read More] Caring for Elderly Patients with Tuberculosis: Best Practices and Considerations
Calcium Nodules in Lungs: Understanding TB Risks Without Symptoms
X-ray findings show calcified nodules in the hilar region, which may indicate pulmonary tuberculosis. However, if there are no signs of coughing, is it possible to transmit the infection to others? I sometimes come into contact with dust at work, and even though I wear a mask, I ...
Dr. Yang Wenda Reply:
Hello: Calcified nodules indicate a previous lung inflammation (which may have manifested as a cough or fever years ago, without an X-ray taken). After healing, the tissue at the site of the original inflammation undergoes fibrosis and calcification as a repair process, similar t...[Read More] Calcium Nodules in Lungs: Understanding TB Risks Without Symptoms