Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”

Children affected by tuberculous meningitis (TBM), as well as their families, have needs that lie at the intersections between the tuberculosis and meningitis clinical, research, and policy spheres. There is therefore a substantial risk that these needs are not fully met by either programme. In this...

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Main Authors: Robindra Basu Roy, Sabrina Bakeera-Kitaka, Chishala Chabala, Diana M Gibb, Julie Huynh, Hilda Mujuru, Naveen Sankhyan, James A Seddon, Suvasini Sharma, Varinder Singh, Eric Wobudeya, Suzanne T Anderson
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/9/4/857
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author Robindra Basu Roy
Sabrina Bakeera-Kitaka
Chishala Chabala
Diana M Gibb
Julie Huynh
Hilda Mujuru
Naveen Sankhyan
James A Seddon
Suvasini Sharma
Varinder Singh
Eric Wobudeya
Suzanne T Anderson
author_facet Robindra Basu Roy
Sabrina Bakeera-Kitaka
Chishala Chabala
Diana M Gibb
Julie Huynh
Hilda Mujuru
Naveen Sankhyan
James A Seddon
Suvasini Sharma
Varinder Singh
Eric Wobudeya
Suzanne T Anderson
author_sort Robindra Basu Roy
collection DOAJ
description Children affected by tuberculous meningitis (TBM), as well as their families, have needs that lie at the intersections between the tuberculosis and meningitis clinical, research, and policy spheres. There is therefore a substantial risk that these needs are not fully met by either programme. In this narrative review article, we use the World Health Organization (WHO) “Defeating Meningitis by 2030: global roadmap” as a starting point to consider key goals and activities to specifically defeat TBM in children. We apply the five pillars outlined in the roadmap to describe how this approach can be adapted to serve children affected by TBM. The pillars are (i) prevention; (ii) diagnosis and treatment; (iii) surveillance; (iv) support and care for people affected by meningitis; and (v) advocacy and engagement. We conclude by calling for greater integration between meningitis and TB programmes at WHO and at national levels.
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spelling doaj.art-17a385badb4e4011ad77a67a787ae07f2023-11-21T15:50:50ZengMDPI AGMicroorganisms2076-26072021-04-019485710.3390/microorganisms9040857Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”Robindra Basu Roy0Sabrina Bakeera-Kitaka1Chishala Chabala2Diana M Gibb3Julie Huynh4Hilda Mujuru5Naveen Sankhyan6James A Seddon7Suvasini Sharma8Varinder Singh9Eric Wobudeya10Suzanne T Anderson11Clinical Research Department, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UKMUJHU Research Collaboration, Kampala, UgandaSchool of Medicine & University Teaching Hospital (UTH), University of Zambia, Lusaka, ZambiaMRC Clinical Trials Unit at UCL, 90 High Holborn, Holborn, London WC1V 6LJ, UKOxford University Clinical Research Unit, Centre for Tropical Medicine, Hospital for Tropical Diseases, 764 Vo Van Kiet, District 5, Ho Chi Minh City, VietnamUniversity of Zimbabwe Clinical Research Centre, Harare, ZimbabwePost Graduate Institute of Education and Medical Research (PGI), Chandigarh 160017, IndiaDepartment of Infectious Diseases, Imperial College London, Norfolk Place, London W2 1PG, UKDepartment of Pediatrics, Lady Hardinge Medical College and Assoc Kalawati Saran Children’s Hospital (Hospital-LHH), New Delhi 110001, IndiaDepartment of Pediatrics, Lady Hardinge Medical College and Assoc Kalawati Saran Children’s Hospital (Hospital-LHH), New Delhi 110001, IndiaMUJHU Research Collaboration, Kampala, UgandaMRC Clinical Trials Unit at UCL, 90 High Holborn, Holborn, London WC1V 6LJ, UKChildren affected by tuberculous meningitis (TBM), as well as their families, have needs that lie at the intersections between the tuberculosis and meningitis clinical, research, and policy spheres. There is therefore a substantial risk that these needs are not fully met by either programme. In this narrative review article, we use the World Health Organization (WHO) “Defeating Meningitis by 2030: global roadmap” as a starting point to consider key goals and activities to specifically defeat TBM in children. We apply the five pillars outlined in the roadmap to describe how this approach can be adapted to serve children affected by TBM. The pillars are (i) prevention; (ii) diagnosis and treatment; (iii) surveillance; (iv) support and care for people affected by meningitis; and (v) advocacy and engagement. We conclude by calling for greater integration between meningitis and TB programmes at WHO and at national levels.https://www.mdpi.com/2076-2607/9/4/857tuberculosistuberculous meningitisTBMchildren
spellingShingle Robindra Basu Roy
Sabrina Bakeera-Kitaka
Chishala Chabala
Diana M Gibb
Julie Huynh
Hilda Mujuru
Naveen Sankhyan
James A Seddon
Suvasini Sharma
Varinder Singh
Eric Wobudeya
Suzanne T Anderson
Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
Microorganisms
tuberculosis
tuberculous meningitis
TBM
children
title Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
title_full Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
title_fullStr Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
title_full_unstemmed Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
title_short Defeating Paediatric Tuberculous Meningitis: Applying the WHO “Defeating Meningitis by 2030: Global Roadmap”
title_sort defeating paediatric tuberculous meningitis applying the who defeating meningitis by 2030 global roadmap
topic tuberculosis
tuberculous meningitis
TBM
children
url https://www.mdpi.com/2076-2607/9/4/857
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