Tuberculosis in children: Difference between revisions
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▸ '''Drug Susceptible TB | ▸ '''Drug Susceptible TB''' | ||
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Revision as of 16:37, 23 September 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Tuberculosis Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Tuberculosis in children On the Web |
American Roentgen Ray Society Images of Tuberculosis in children |
Risk calculators and risk factors for Tuberculosis in children |
Overview
Tuberculosis in Children
Symptom-based Screening Approach
Algorithm adapted from Guidance for National Tuberculosis Programmes on the Management of Tuberculosis in Children[1]
Child in close contact with confirmed tuberculosis case | |||||||||||||||||||||||||||||||||||||||||||||||||
< 5 yrs old | > 5 yrs old | ||||||||||||||||||||||||||||||||||||||||||||||||
Asymptomatic | Symptomatic | Symptomatic | Asymptomatic | ||||||||||||||||||||||||||||||||||||||||||||||
Administer INH 10 mg/kg/d x 6 months | No preventive treatment is recommended. | ||||||||||||||||||||||||||||||||||||||||||||||||
If the child develops symptoms | If the child develops symptoms | ||||||||||||||||||||||||||||||||||||||||||||||||
Confirm the diagnosis of TB with:
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Screening in Children with HIV
Algorithm adapted from Guidance for National Tuberculosis Programmes on the Management of Tuberculosis in Children[1]
IPT: Isoniazid preventive therapy (INH 10 mg/kg/d x 6 months)
Child with HIV and older than 1 year | |||||||||||||||||||||||||||||||||||||||||||||||||||
Does the patient has any of the following symptoms?
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Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||
Assess for the diagnosis of TB (TST, chest X-ray, sputum studies) and rule out other diseases | Does the patient has any of the following contraindications for IPT?
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TB confirmed | TB ruled out, other diagnosis confirmed | Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||
Administer 2HRZE/4HR regimen | Give appropriate treatment for the disease and consider IPT | Do not administer IPT | Administer IPT | ||||||||||||||||||||||||||||||||||||||||||||||||
Diagnostic Algorithm
Treatment Regimens
Tuberculosis in Children ▸ Drug Susceptible TB ▸ MDR-TB ▸ XDR-TB |
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