Table 4.
Intensive phase (duration) | Continuation phase (duration) | |
---|---|---|
TB disease (except meningitis and osteoarticular TB) in HIV-uninfected children with low risk of INH-resistance | INH + RIF + PZA (2 months) | INH + RIF (4 months) |
TB disease (except meningitis and osteoarticular TB) in HIV-infected children and/or children with high risk of INH-resistance | INH + RIF + PZA + EMB (2 months) | INH + RIF (4 months) |
Meningitis and osteoarticular TB | INH + RIF + PZA + EMB (2 months) | INH + RIF (10 months) |
INH-monoresistance TB | RIF + PZA + EMB (2 months)§ | RIF + PZA + EMB (4-7 months)§ |
RIF + PZA + EMB (2 months)# | RIF + EMB (10 months) # | |
RIF + PZA + EMB + FQN (2 months) # | RIF + EMB + FQN (4-7 months) # | |
RIF-monoresistance TB | INH+ PZA + EMB + FQN (2 months) § | INH + EMB + FQN (10-16 months) § |
INH + PZA + EMB (2 months) # | INH + EMB (16 months) # | |
MDR-resistance TB | Treatment regimens should be based on the drug susceptibility pattern of the M. tuberculosis isolated from child specimens or, more frequently, from the source case specimens. | |
LTBI | INH (6-9 months) § | |
INH + RIF (3 months) # | ||
INH + RPT (weekly for 12 weeks) # | ||
INH-monoresistance LTBI | RIF (4-6 months) |
Note: § recommended regimen; # alternative regimen; TB: Tuberculosis; INH: Isoniazid; RIF: Rifampicin; PZA: Pyrazinamide; EMB: Ethambutol; FQN: Fluoroquinolones; MDR: Multi- Drug Resistance; RPT: Rifabutin.