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. Author manuscript; available in PMC: 2017 Jul 24.
Published in final edited form as: Int J Tuberc Lung Dis. 2013 Nov;17(11):1389–1395. doi: 10.5588/ijtld.13.0030

Table 1.

Malawi pediatric anti-tuberculosis and ART regimens, 2006–2010

Regimen
Anti-tuberculosis treatment
 Type of TB case
 New (first case) 2RHZE/4RH (Regimen 1)*
 Relapse, return after default, treatment failure, recurrent 2SRHZE/1RHZE/5RHE (Regimen 2)*
 Meningitis 2SRHZ/7RH*
 Suspected or confirmed multidrug-resistant or extensively drug-resistant TB Handled on a case-by-case basis with NTP
ART
 Standard first-line d4T/3TC/NVP
 Standard second-line ABC/ddI/LPV-r
*

R = rifampicin; H = isoniazid; Z = pyrazinamide; E = ethambutol; S = streptomycin. Numbers represent duration of therapy in months.

In practice, many recurrent cases are treated with Regimen 1 if they are thought to represent re-infection after successful treatment of a previous episode.

For patients on anti-tuberculosis treatment and first-line ART, there is no recommended switch from NVP to EFV. For patients needing simultaneous anti-tuberculosis treatment and second-line ART, double-dose LPV-r is usually recommended, as individual ritonavir is not available in the country for superboosting.

ART = antiretroviral therapy; TB = tuberculosis; NTP = National TB Control Programme; d4T = stavudine; 3TC = lamivudine; NVP = nevirapine; ABC = abacavir; ddI = didanosine; LPV-r = lopinavir/ritonavir; EFV = efavirenz.