Chart 5. Basic regimen for the treatment of tuberculous meningitis in children.
Treatment phase | Drugsa | Daily dosage, by patient weight | ||||||
---|---|---|---|---|---|---|---|---|
≤ 20 kg | 21-25 kg | 26-30 kg | 31-35 kg | 36-40 kg | 41-45 kg | ≥ 45 kg | ||
mg/kg | mg | mg | mg | mg | mg | mg | ||
2RHZ | Rifampin | 15 (10-20) | 300 | 450 | 500 | 600 | 600 | 600 |
Isoniazid | 10 (7-15) | 200 | 300 | 300 | 300 | 300 | 300 | |
Pyrazinamide | 35 (30-40) | 750 | 1000 | 1000 | 1500 | 1500 | 2000 | |
10RH | Rifampin | 15 (10-20) | 300 | 450 | 500 | 600 | 600 | 600 |
Isoniazid | 10 (7-15) | 200 | 300 | 300 | 300 | 300 | 300 |
Source: World Health Organization.(17) aDuring the treatment of tuberculous meningitis, a corticosteroid can be added to the anti-tuberculosis regimen: oral prednisone (1-2 mg/kg daily) for four weeks or, in severe cases, intravenous dexamethasone (0.3-0.4 mg/kg daily) for 4-8 weeks, with gradual dose reductions over the subsequent 4 weeks.