A 32-year-old man, ADVP and recently released from prison, has a protein derivative skin test (PPD) with 10 mm of induration. One year ago, the PPD was negative, he is currently asymptomatic, his HIV serology is negative, and his Chest X-ray is normal. Which of the following approaches do you think is most appropriate?
In the face of a PPD conversion within 2 years, and ruling out current TB disease, INH chemoprophylaxis is indicated, although I thought it was for 6 months and not 9. The rest is not questionable.
Do not perform treatment and annual Rx control.
Sputum culture for mycobacteria and treat only if positive.
Isoniazid for 9 months.
Treatment with 4 drugs 4 months.
Treatment with RIF and PRZ for 2 months.
In the face of a PPD conversion within 2 years, and ruling out current TB disease, INH chemoprophylaxis is indicated,