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Traditionally children have been treated for tuberculosis (TB) based on data extrapolated from adults. However, we know that children present unique challenges that deserve special focus. New data on optimal drug selection and dosing are emerging with the inclusion of children in clinical trials and ongoing research on age-related pharmacokinetics and pharmacodynamics. We discuss the changing treatment landscape for drug-susceptible and drug-resistant paediatric tuberculosis in both the most common (intrathoracic) and most severe (central nervous system) forms of disease, and address the current knowledge gaps for improving patient outcomes.

Original publication

DOI

10.1016/j.prrv.2020.02.002

Type

Journal

Paediatric respiratory reviews

Publication Date

11/2020

Volume

36

Pages

33 - 43

Addresses

Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam; Nuffield Department of Medicine, Department of Tropical Medicine and Global Health, Oxford University, Oxford, United Kingdom. Electronic address: jhuynh@oucru.org.

Keywords

Humans, Tuberculosis, Tuberculosis, Central Nervous System, Tuberculosis, Multidrug-Resistant, Tuberculosis, Pulmonary, Ethambutol, Isoniazid, Pyrazinamide, Rifampin, Antitubercular Agents, Drug Therapy, Combination, Child, Duration of Therapy