Pediatric Drug-Resistant Tuberculosis: The Current and Future Prospects for Management and Prevention
- PMID: 38003836
- PMCID: PMC10674844
- DOI: 10.3390/pathogens12111372
Pediatric Drug-Resistant Tuberculosis: The Current and Future Prospects for Management and Prevention
Abstract
In the continued battle against one of the oldest enemies known to mankind, Mycobacterium tuberculosis (MTB), the emergence of drug resistance to antituberculosis drugs among children poses multiple challenges for early detection and treatment. Molecular diagnostics and newer drugs like bedaquiline and delamanid have strengthened the armamentarium and helped design convenient, safe, and child-friendly therapeutic regimens against drug-resistant tuberculosis (TB). Preventive strategies like treatment of TB infection among children living in close contact with patients with drug-resistant TB and effective vaccines against TB are currently in the investigative stages of development and implementation. In addition to the implementation of recent novel diagnostics and treatment modalities, effective psychosocial and nutritional support, as well as dedicated monitoring for compliance and adverse effects, are crucial determinants for successful treatment outcomes in these children.
Keywords: TB infection; TB preventive treatment; TB vaccines; Xpert MTB; bedaquiline (BDQ); delamanid (DLM); latent TB; tuberculosis.
Conflict of interest statement
The authors declare no conflict of interest.
References
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- International Union Against Tuberculosis and Lung Disease . Diagnostic CXR Atlas for Tuberculosis in Children: A Guide to Chest X-ray Interpretation. 2nd ed. International Union Against Tuberculosis and Lung Disease; Paris, France: 2022.
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