Home / Services / TB & Drug-Resistant TB Care

TB & Drug-Resistant TB Care

Comprehensive DOTS-aligned management of pulmonary and extra-pulmonary tuberculosis.

About this service

Comprehensive DOTS-aligned management of pulmonary and extra-pulmonary tuberculosis, including drug-resistant TB — with adherence support and side-effect monitoring throughout therapy.

  • Free linkage with the national TB programme
  • Baseline and follow-up sputum, LFT, RFT
  • Drug-resistance workup and second-line therapy
  • Counselling for the patient and family

About TB & Drug-Resistant TB Care at Samarth Chest Hospital, Bharuch

Tuberculosis remains a major public-health problem in India. We offer end-to-end TB care — from smear, GeneXpert MTB/RIF and LPA-based diagnosis to daily fixed-dose combination ATT, side-effect monitoring, drug-resistant TB regimens (including shorter oral BPaL/BPaLM where applicable) and long-term follow-up in line with NTEP guidelines.

Who typically needs this

  • Chronic cough >2 weeks, especially with weight loss, evening fever or blood in sputum
  • HIV-positive or diabetic patients screening for TB
  • Contact of an active TB or MDR-TB patient
  • Recurrence, relapse or treatment failure
  • Suspected extra-pulmonary TB (pleural, lymph nodal, abdominal)

How to prepare

  • Bring previous prescriptions and drug history
  • Recent chest X-ray/HRCT and sputum reports
  • Blood tests (LFT, RFT, HIV, HbA1c) if already done
  • List of all current medications and side-effects

What to expect

  • Sputum for AFB smear, GeneXpert MTB/RIF and, when indicated, LPA
  • Baseline LFT, RFT, uric acid, ECG (before Bedaquiline)
  • Weight-band-based daily fixed-dose combination ATT
  • Structured monthly monitoring for smear conversion and side-effects
  • Nutritional counselling and household contact screening

After the visit

  • Free notification and coordination with NTEP where appropriate
  • Side-effect helpline for hepatotoxicity, hearing changes and skin reactions
  • End-of-treatment sputum culture and X-ray
  • Long-term post-TB lung disease follow-up (PTLD)

Why patients in Bharuch choose Samarth Chest Hospital

Frequently asked questions

How long is TB treatment?

Drug-sensitive pulmonary TB is treated for 6 months. MDR-TB regimens range from 6–9 months (shorter oral BPaL/BPaLM in eligible patients) to 18–24 months in complex cases.

Will I need to stop working?

Most patients can continue work after the first 2–4 weeks once they are smear-negative and clinically improved, subject to occupational risk assessment.

How do I know if my TB is drug-resistant?

GeneXpert MTB/RIF and LPA test for rifampicin and INH resistance directly on sputum, usually giving results within a day or two.

Is TB treatment free in India?

Yes — under NTEP, first- and second-line anti-TB drugs are provided free of cost. We coordinate free-drug supply along with clinic follow-up.

Can TB affect the lungs long-term after treatment?

Yes — post-TB lung disease can cause chronic cough, bronchiectasis or reduced lung function. Long-term pulmonology follow-up is important.

The information above is educational and does not replace an in-person consultation. For a personalised plan, book with Dr Saurabh Bhatt (MD Pulmonology) at Samarth Chest Hospital & ICU, 4th Floor, RK Casta, Bharuch — call +91 90161 12968 or WhatsApp us.

Other services we offer