IPT for recurrent TB exposure
Author: Kumar G S
Question.
Three children aged less than 6years (youngest being 3yrs) have been given 6 months of INH prophylactic therapy as per RNTCP recommendations (10mg/Kg/day) as the grandfather had smear positive tuberculosis. They all completed the prophylaxis just a month ago and are asymptomatic and underweight. Now the uncle who lives in the same family is detected to have smear positive tuberculosis. They belong to indigenous tribal community and live together in a small, poorly ventilated hut. There are no specific guidelines for such scenarios and it is common for single tribal family to have two or three adult tuberculosis cases getting diagnosed at intervals.
Answers of this discussion
Author :- halima alfarsi on 28 March 2015.
Answer :- Yes. Because they are at risk

Author :- shiekh amir on 28 March 2015.
Answer :- no need

Author :- AishaIbrahim AhmedIdriss on 29 March 2015.
Answer :- No need to give those children an other INH .

Author :- mariela zamudio on 29 March 2015.
Answer :- Yes, she has to yo begin prophylaxis again.

Author :- uwes ahmad on 29 March 2015.
Answer :- Prophylaxis should be restarted after ensuring that children r not infected. Initially prophylaxis was given assuming that children hv got d infection by the time d grandfather was diagnosed. Children were protected, treated with INH for six mos. But uncle was not protected and he got d infection. He`s an open case now and can be a source of infection to all d contacts, including these children. Perhaps screening, prevention and health education was not proper for d family.

Author :- DrSavan Vamja on 01 April 2015.
Answer :- first thing at the time of tuberculosis diagnosis to grandfather, each family member should screen for tuberculosis, now in such case child should screen again and give prophylaxis according to it..

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