Management of children exposed to multidrug-resistant Mycobacterium tuberculosis.


Seddon, JA; Godfrey-Faussett, P; Hesseling, AC; Gie, RP; Beyers, N; Schaaf, HS; (2012) Management of children exposed to multidrug-resistant Mycobacterium tuberculosis. The Lancet infectious diseases, 12 (6). pp. 469-79. ISSN 1473-3099 DOI: https://doi.org/10.1016/S1473-3099(11)70366-8

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Abstract

: Children exposed to multidrug-resistant (MDR) Mycobacterium tuberculosis are at risk of developing MDR tuberculosis. Where treatment is available, it is lengthy, expensive, and associated with poor adherence and notable morbidity and mortality. Preventive treatment effectively lowers the risk of disease progression for contacts of individuals with drug-susceptible tuberculosis, but this strategy is poorly studied for contacts of people with MDR tuberculosis. In this Review we discuss the management of child contacts of source cases with MDR tuberculosis. We pay particular attention to assessment, existing international guidelines, possible preventive treatments, rationales for different management strategies, and the interaction with and implications of HIV infection.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 22373591
Web of Science ID: 304789300019
URI: http://researchonline.lshtm.ac.uk/id/eprint/20689

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