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Published on: August 16, 2021
Intermittent short course therapy for pediatric tuberculosis
C K Indumathi1, K Kumar Prasanna, Chitra Dinakar
1Department of Pediatrics, St Johns Medical College Hospital, Bangalore, India. ckindumathi@gmail.com
Insights
Intermittent short course therapy effectively treated pediatric tuberculosis (TB) in 95% of children. This approach, coordinated with the Revised National Tuberculosis Control Programme (RNTCP), showed high success rates for both pulmonary and extrapulmonary TB.
Area of Science:
- Pediatric infectious diseases
- Public health interventions
- Tuberculosis research
Background:
- Pediatric tuberculosis (TB) requires effective treatment strategies.
- The Revised National Tuberculosis Control Programme (RNTCP) offers standardized protocols.
- Adapting RNTCP for children is crucial for successful outcomes.
Purpose of the Study:
- To evaluate the efficacy of intermittent short course therapy for all forms of pediatric TB.
- To assess the coordinated implementation of RNTCP protocols in childhood TB management.
- To determine the overall response rate and identify any treatment challenges.
Main Methods:
- Sixty-five children with various forms of TB were treated.
- RNTCP protocols were utilized with modifications (dose adjustments, extended treatment).
- A coordinated approach involving pediatricians and Directly Observed Treatment Short course (DOTS) personnel was employed.
Main Results:
- An overall response rate of 95% was achieved.
- Response rates were high for both pulmonary TB (94%) and extrapulmonary TB (97%).
- One case of possible relapse was noted, with successful implementation of RNTCP protocols.
Conclusions:
- Intermittent short course therapy, adapted from RNTCP, is highly effective in treating pediatric TB.
- Coordinated care between healthcare providers and DOTS centers facilitates successful RNTCP implementation.
- The modified RNTCP approach demonstrates a promising strategy for managing childhood tuberculosis.
Abstract:
We conducted this study to assess the efficacy of intermittent short course therapy in all forms of pediatric tuberculosis using a coordinated approach with Revised National Tuberculosis Control Programme (RNTCP). Sixty five children were treated using RNTCP protocols with some modifications, such as dose adjustments or prolongation of treatment in selected children. Overall response rate was 95%(pulmonary 94% and extra pulmonary 97%). There was one case with possible relapse. With dynamic inputs from both the treating pediatrician and personnel from Directly Observed Treatment Short course (DOTS) centers, we could successfully implement RNTCP protocols in childhood tuberculosis.
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