TB Research

Tuberculosis treatment in children: The changing landscape

Huynh J, Thwaites G, Marais BJ, Schaaf HS

Paediatric respiratory reviews · 2020-02

Abstract

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.

MeSH terms

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