Is pulmonary tuberculosis still contagious after taking medication for 24 days?

Mar 31, 2025 Source: Cainiu Health
Disease description:

A friend has had tuberculosis for a long time. I would like to know, after taking medication for 24 days, is tuberculosis still contagious?

Doctor's answer (1)
Dr. Ren Yi

Whether pulmonary tuberculosis is still contagious after 24 days of medication mainly depends on the results of sputum smear tests and the patient's treatment adherence. Pulmonary tuberculosis is a contagious disease caused by Mycobacterium tuberculosis, and its contagiousness primarily depends on the extent to which Mycobacterium tuberculosis is expelled from the patient's body. During the treatment of tuberculosis, as medications are continuously administered, the number of Mycobacterium tuberculosis bacteria in the patient's body gradually decreases, thereby reducing contagiousness.

Specifically, if the patient strictly follows medical instructions for taking medications during treatment and sputum smear test results show that Mycobacterium tuberculosis has turned negative, their contagiousness will be significantly reduced, and they may no longer be contagious. However, if the treatment is not properly followed or sputum smear results remain positive, contagiousness still exists.

Twenty-four days of medication is a relatively short period, and for most tuberculosis patients, this may still be an early stage of treatment. Therefore, even if the patient is undergoing treatment, there may still be a certain amount of Mycobacterium tuberculosis present in their body, which could potentially be transmitted to others via respiratory droplets. Even after taking medication for 24 days, patients should continue following medical advice, regularly undergo sputum smear or culture tests, and evaluate contagiousness and adjust treatment plans accordingly.