Pediatric Oncall
Facebook
twitter
ISSN - 0973-0958
Home
https://www.pediatriconcall.com/Journal/images/journal_cover.jpg
TEACHING FILES (GRAND ROUNDS)
 
DOI : https://doi.org/10.7199/ped.oncall.2012.75
   
 
EXPOSURE TO XDR-TB
EXPOSURE TO XDR-TB 24/11/2012 https://www.pediatriconcall.com/Journal/images/journal_cover.jpg
Dr Ira Shah.
Medical Sciences Department, Pediatric Oncall, Mumbai.

Cite this article  Copy Citation
Shah I. EXPOSURE TO XDR-TB. Pediatr Oncall J. 2012;9: 120. doi: 10.7199/ped.oncall.2012.75

Address for Correspondence
Pediatric Oncall, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056
Clinical Problem :
A 3½ years old girl is in contact with an adult suffering from XDR-TB. Her Mantoux test is also positive. She is otherwise asymptomatic. Her Chest X-Ray is normal
 
Question :
How should this child be treated_?
 
Expert Opinion :
This child has latent TB, is less than 5 years of age and is in contact with an adult having TB. Thus this child should receive prophylaxis for TB. As per WHO, prophylaxis for latent TB is 6 months of INH. However, this child is in contact with an adult having XDR-TB. Thus she may have been exposed to resistant bug. Thus INH may not be protective. There is not enough literature to determine which drug should be given as prophylaxis in such a scenario. The WHO recommends a wait and watch policy in such a situation and to treat the child only when the child becomes symptomatic. There are reports of use of pyrazinamide and ofloxacin prophylaxis in such situations but it is not recommended as you may actually lead to more drug resistance in the child.
 
Funding:  None  
 
Conflict of Interest: None
 
DOI No. :  https://doi.org/10.7199/ped.oncall.2012.75
 
Cite this article as :
Shah I. EXPOSURE TO XDR-TB. Pediatr Oncall J. 2012;9: 120. doi: 10.7199/ped.oncall.2012.75
ask a doctor
Ask a Doctor
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
Join Us
facebook
twitter
youtube
instagram
rss
Pediatric Oncall
Pediatric Oncall
Medical Calculators
Medical Calculators
Drug Center
Drug Center
Pediatric Oncall Journal
Pediatric Oncall Journal
Parenting
Parenting
Vaccine Reminder
Vaccine Reminder

Home

 About Us
Link To Us
Terms & Conditions
Privacy Policy

 
Online Ordering Policy
Sitemap
Feedback

Partner Sites

HIV in Childern
Creative Catchy Ideas
Medical ADRIS
Vaccine Reminder
Pediatric Oncall Journal
Infection in Children - Part 3

New Arrival

Infection in Children - Part 3

Other Pediatric Oncall Books
View More Books
DMCA
COPYSCAPE
Copyright © 2001 - 2019 Pediatric Oncall All Rights Reserved. All trademarks used are the properties of their respective owners.
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0