Tuberculosis in childhood

There has been a recent global resurgence of tuberculosis (TB) fuelled by HIV infection and migration. Childhood TB represents a sentinel event in the community, suggesting recent transmission from an infectious adult. The diagnosis of TB in children is based on chest X-ray, tuberculin skin testing...

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Main Author: Delane Shingadia
Format: Article
Language:English
Published: SAGE Publishing 2012-06-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/1753465812436662
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author Delane Shingadia
author_facet Delane Shingadia
author_sort Delane Shingadia
collection DOAJ
description There has been a recent global resurgence of tuberculosis (TB) fuelled by HIV infection and migration. Childhood TB represents a sentinel event in the community, suggesting recent transmission from an infectious adult. The diagnosis of TB in children is based on chest X-ray, tuberculin skin testing and mycobacterial staining/culture, although the diagnostic yield from these investigations is often lower than in adults. Newer diagnostic tests are being developed and may improve the diagnostic yield in childhood TB. Treatment of TB in children is similar to adults in that short-course multidrug treatment has been adopted as standard therapy in many national TB programmes. Compliance is a major determinant of the success of drug treatment and directly observed therapy has been adopted as a key component of TB treatment programmes. Although uncommon in children, multidrug-resistant TB is also increasing and treatment often involves longer courses of therapy with second-line drugs.
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spelling doaj.art-84aa122850f7456ab85d0ab25fbed4fb2022-12-22T00:10:35ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46581753-46662012-06-01610.1177/1753465812436662Tuberculosis in childhoodDelane ShingadiaThere has been a recent global resurgence of tuberculosis (TB) fuelled by HIV infection and migration. Childhood TB represents a sentinel event in the community, suggesting recent transmission from an infectious adult. The diagnosis of TB in children is based on chest X-ray, tuberculin skin testing and mycobacterial staining/culture, although the diagnostic yield from these investigations is often lower than in adults. Newer diagnostic tests are being developed and may improve the diagnostic yield in childhood TB. Treatment of TB in children is similar to adults in that short-course multidrug treatment has been adopted as standard therapy in many national TB programmes. Compliance is a major determinant of the success of drug treatment and directly observed therapy has been adopted as a key component of TB treatment programmes. Although uncommon in children, multidrug-resistant TB is also increasing and treatment often involves longer courses of therapy with second-line drugs.https://doi.org/10.1177/1753465812436662
spellingShingle Delane Shingadia
Tuberculosis in childhood
Therapeutic Advances in Respiratory Disease
title Tuberculosis in childhood
title_full Tuberculosis in childhood
title_fullStr Tuberculosis in childhood
title_full_unstemmed Tuberculosis in childhood
title_short Tuberculosis in childhood
title_sort tuberculosis in childhood
url https://doi.org/10.1177/1753465812436662
work_keys_str_mv AT delaneshingadia tuberculosisinchildhood