How many days does it generally take for tuberculosis to become contagious?

Jul 27, 2024 Source: Cainiu Health
Disease description:

Someone in the class has contracted tuberculosis. How many days does it generally take for tuberculosis to become contagious?

Doctor's answer (1)
Dr. Li Jingli

The contagiousness of pulmonary tuberculosis is not determined by a fixed number of days, but is closely related to the progression of the disease, the treatment status, and the activity of Mycobacterium tuberculosis. Generally, within 1 to 3 months after the onset of illness, patients are relatively more contagious because the lesions are in an active stage and Mycobacterium tuberculosis is actively multiplying. During this period, droplets expelled when the patient coughs or sneezes may contain large numbers of Mycobacterium tuberculosis, which, once inhaled by a healthy person, may cause infection.

As the patient receives proper treatment, their contagiousness gradually decreases. Most patients experience a significant reduction in the number of Mycobacterium tuberculosis in their sputum after 2 to 3 weeks of effective treatment, and their contagiousness correspondingly declines. Therefore, the contagious period of pulmonary tuberculosis is not a fixed number of days or weeks, but must be determined based on the individual patient's condition and treatment progress.

To prevent the spread of pulmonary tuberculosis, patients should actively cooperate with physicians during treatment and pay attention to personal hygiene during the treatment period, avoiding不良 behaviors such as spitting anywhere. At the same time, healthy individuals should also strengthen self-protection awareness, avoid close contact with pulmonary tuberculosis patients, especially maintaining a certain distance when the patient coughs or sneezes, to reduce the risk of infection.