Tuberculosis Treatment Monitoring

The optimal LAM-change cut-off is selected using a combination of the Youden Index, a clinically acceptable false-negative rate, and alignment with WHO TPP targets. Treatment failure leads not only to poor patient outcomes but also to the…

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The optimal LAM-change cut-off is selected using a combination of the Youden Index, a clinically acceptable false-negative rate, and alignment with WHO TPP targets. Treatment failure leads not only to poor patient outcomes but also to the emergence and spread of drug-resistant TB. TB treatment failure is driven by long therapy duration and adherence difficulties. WHO recommends sputum culture and AFB smear microscopy to monitor treatment response in pulmonary TB.